NPIMap

Organization Active NPI

Gateway Counseling, Inc

  • Social Worker
  • Pocatello, ID
National Provider Identifier
1922392869
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW-28906 Issued in ID
Legal business name
GATEWAY COUNSELING, INC
Practice address
427 N Main St
Suite 101
Pocatello, ID 83204-3016
Phone
(208) 242-3771
Fax
(208) 242-3772
NPI assigned
Jun 8, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mr. Corey Lynn Richardson, LCSW
Title
Operations Director
Phone
(208) 242-3771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW-28906 ID
Social Worker 104100000X LCSW-28906 ID Primary

Addresses

Primary practice location

427 N Main St
Suite 101
Pocatello, ID 83204-3016

Mailing address

427 N Main St
Suite 101
Pocatello, ID 83204-3016
Phone (208) 242-3771

National Provider Directory

National Provider Directory
Tax ID family
Gateway Counseling Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

427 N Main St
Ste 101
Pocatello, ID 83204
Phone (208) 242-3771

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1922392869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043016",
            "telephone_number": "208-242-3771",
            "fax_number": "208-242-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043016",
            "telephone_number": "208-242-3771",
            "fax_number": "208-242-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "208-242-3771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCSW-28906",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LCSW-28906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.