Organization Active NPI

Gadway Counseling Services

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1508153529
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0139921 Issued in NM
Legal business name
GADWAY COUNSELING SERVICES
Practice address
3916 Juan Tabo Blvd NE
Suite 27
Albuquerque, NM 87111-3974
Phone
(505) 323-3860
Fax
(505) 323-9547
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mitzi McKool Gadwell, LPCC
Title
Counselor
Phone
(505) 323-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0139921 NM Primary

Addresses

Primary practice location

3916 Juan Tabo Blvd NE
Suite 27
Albuquerque, NM 87111-3974

Mailing address

3916 Juan Tabo Blvd NE
Suite 27
Albuquerque, NM 87111-3974
Phone (505) 323-3860

National Provider Directory

National Provider Directory

Locations

3916 Juan Tabo Blvd NE
Ste 27
Albuquerque, NM 87111
Phone (505) 323-3860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1508153529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 JUAN TABO BLVD NE",
            "address_2": "SUITE 27",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113974",
            "telephone_number": "505-323-3860",
            "fax_number": "505-323-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 JUAN TABO BLVD NE",
            "address_2": "SUITE 27",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113974",
            "telephone_number": "505-323-3860",
            "fax_number": "505-323-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADWAY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "GADWELL",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "MCKOOL",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "505-323-3860",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0139921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.