Gateway Counseling Group Licensed Clinical Social Workers Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCO 130 Issued in CA

Legal business name

GATEWAY COUNSELING GROUP LICENSED CLINICAL SOCIAL WORKERS INC

Practice address

4991 E McKinley Ave
Suite 116
Fresno, CA 93727-1900

Phone

(559) 251-9290

Fax

(559) 251-1137

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Jan F. Arndt, LCSW

Title

Therapist

Phone

(559) 251-9290

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael De Anda, LCSW

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1801943261
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1902984925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE",
            "address_2": "SUITE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271900",
            "telephone_number": "559-251-9290",
            "fax_number": "559-251-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE",
            "address_2": "SUITE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271900",
            "telephone_number": "559-251-9290",
            "fax_number": "559-251-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COUNSELING GROUP LICENSED CLINICAL SOCIAL WORKERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "559-251-9290",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCO 130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.