Active NPI
Gateway Health Services Inc
- Clinical Social Worker
- Burnsville, MN
National Provider Identifier
1346749199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GATEWAY HEALTH SERVICES INC
- Practice address
- 13755 Nicollet Ave Ste 104
Burnsville, MN 55337-4045 - Phone
- (507) 261-1313
- NPI assigned
- Feb 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Halimo Ahmed Husein
- Title
- Ceo/Owner
- Phone
- (507) 261-1313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X |
Addresses
Primary practice location
13755 Nicollet Ave Ste 104
Burnsville, MN 55337-4045
Mailing address
13755 Nicollet Ave Ste 104
Burnsville, MN 55337-4045
Other names 1
- Gateway Health Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1346749199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13755 NICOLLET AVE STE 104",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13755 NICOLLET AVE STE 104",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374045",
"telephone_number": "507-261-1313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-07",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "HUSEIN",
"authorized_official_first_name": "HALIMO",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "507-261-1313"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.