Individual provider Active NPI

Wendy Lynn Gatewood

  • Mental Health Counselor
  • Hobart, IN
National Provider Identifier
1871290478
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.024811 Issued in IL
Practice address
1704 Stellar St
Hobart, IN 46342-0050
Phone
(219) 614-2197
NPI assigned
Feb 14, 2023
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149.024811 IL Primary

Addresses

Primary practice location

1704 Stellar St
Hobart, IN 46342-0050

Mailing address

1704 Stellar St
Hobart, IN 46342-0050
Phone (219) 614-2197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250716001561 IN Practitioner - Clinical Social Worker 0840705034 Reassigns benefits to 2 organizations
I20260514000062 IL Practitioner - Clinical Social Worker 0840705034 Reassigns benefits to 1 organization
I20260521003604 OR Practitioner - Clinical Social Worker 0840705034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46204
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.024811ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 19, 2025 Accepting new patients

Locations

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1871290478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 STELLAR ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463420050",
            "telephone_number": "219-614-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 STELLAR ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463420050",
            "telephone_number": "219-614-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATEWOOD",
        "first_name": "WENDY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.024811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.