Organization Active NPI

Gateway Counseling Center, Inc

  • Community/Behavioral Health Agency
  • Banning, CA
National Provider Identifier
1669603775
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GATEWAY COUNSELING CENTER, INC
Practice address
245 N Murray St Ste a
Banning, CA 92220-5528
Phone
(951) 768-1535
Fax
(866) 896-6067
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Mr. Jack Lawrence Johnson, MFT
Title
Ceo
Phone
(951) 768-1535

Specialties & licenses 1

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

Addresses

Primary practice location

245 N Murray St Ste a
Banning, CA 92220-5528

Mailing address

3576 Arlington Ave Ste 307
Riverside, CA 92506-3988
Phone (951) 768-1535

National Provider Directory

National Provider Directory
Tax ID family
Gateway Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

245 N Murray St
Ste A
Banning, CA 92220
Phone (951) 768-1535

3576 Arlington Ave
Ste 307
Riverside, CA 92506
Phone (323) 884-6634

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1669603775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 ARLINGTON AVE STE 307",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063988",
            "telephone_number": "951-768-1535",
            "fax_number": "866-896-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N MURRAY ST STE A",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922205528",
            "telephone_number": "951-768-1535",
            "fax_number": "866-896-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-768-1535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.