G Tate and Associates,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

965660 Issued in OH

Legal business name

G TATE AND ASSOCIATES,LLC

Practice address

423 Bowman St
Mansfield, OH 44903-1201

Phone

(419) 512-5487

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Geron L. Tate, LICDC-CS

Title

Executive Director

Phone

(414) 512-5487

Specialties & licenses 1

Addresses

Other names 1

• Mansfield Richland Recovery Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kalifa T Johnson

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, OH
  • NPI 1326537531
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1619358587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 BOWMAN ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031201",
            "telephone_number": "419-512-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 BOWMAN ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031201",
            "telephone_number": "419-512-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G TATE AND ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "GERON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-512-5487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "965660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Richland Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Radiah Fuller
• Kaia Fulton
• Kaytee Fultz
• Keonna Fuqua
• Stevi Lynn Fyffe, LPN
• Brittany Gabriel
• Charles Ray Gadd, COTAL
• Stephanie Louise Gadd, PTA
• Ioanna Zenia Gaffney
• Anita M Gage, MD

• Community/Behavioral Health Agency in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.