NPIMap

Organization Active NPI

Gateway Counseling Center, Inc.

  • Psychologist
  • Springfield, MO
National Provider Identifier
1962632489
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GATEWAY COUNSELING CENTER, INC.
Practice address
1864 S Kentwood Ave
Springfield, MO 65804-2323
Phone
(417) 869-8400
Fax
(417) 869-8401
NPI assigned
Jul 17, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Ernest Grant Jones, PHD.
Title
President
Phone
(417) 869-8400

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 10

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090727000125 MO Part B Supplier - Clinic/Group Practice 9234282112 Receives reassigned benefits from 7 practitioners
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

1983 E Seminole St
Ste B
Springfield, MO 65804
Phone (417) 869-8400

1864 S Kentwood Ave
Springfield, MO 65804
Phone (417) 869-8400

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1864 S Kentwood Ave
Springfield, MO 65804-2323

Mailing address

1864 S Kentwood Ave
Springfield, MO 65804-2323
Phone (417) 869-8400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2018.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1962632489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 S KENTWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042323",
            "telephone_number": "417-869-8400",
            "fax_number": "417-869-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 S KENTWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042323",
            "telephone_number": "417-869-8400",
            "fax_number": "417-869-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-869-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.