GATEWAY COUNSELING INCORPORATED (NPI# 1154847424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154847424 |
| Entity Type | Organization |
| Organization Name | GATEWAY COUNSELING INCORPORATED |
| Practice Address |
7114 Galen Dr W Ste 103 Avon IN 46123-8659 |
| Mailing Address |
8103 E Us Highway 36 # 243 Avon IN 46123-7964 |
| Practice Telephone | 3175906139 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DOUGLAS COLGROVE (PRESIDENT) |
| Authorized Official Telephone | 3175906139 |
| Authorized Official Credential | MS, LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
39002164A | IN | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
33003053A | IN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39000854A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6745 Gray Rd Ste C, Indianapolis, IN 462373236 | 3175906139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528366424 | Gateway Counseling Incorporated | Counselor | 151 N 3rd Ave Ste 330, Pocatello, ID 83201-6331 | 2011-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY COUNSELING INCORPORATED | 151 N 3rd Ave # 330, Pocatello, ID 83201-6331 |
| Street Address |
7114 GALEN DR W STE 103 |
| City | AVON |
| State | IN |
| Zip Code | 46123-8659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1275156937 | Brianna Nicole Kilbane | Counselor | 37901 Quail Holw, Avon, OH 44011-4722 | 2020-05-28 |
| 1750947594 | Lashaun Nicole Montgomery | Counselor | 127 Orchard Dr Apt 303, Avon, IN 46123-6440 | 2019-05-17 |
| 1902304728 | Care To Change, LLC | Counselor | 10080 E Us Highway 36 Ste A, Avon, IN 46123-8174 | 2018-01-26 |
| 1942713995 | Katherine M Bement | Counselor | 37231 Colorado Ave Ste 111, Avon, OH 44011-1527 | 2017-11-13 |
| 1083095434 | Anna Poltorak | Counselor | 40 Avon Meadow Ln Bldg 40, Avon, CT 06001-3753 | 2015-06-11 |
| 1548667983 | Jennifer Anne Thor | Counselor | 41838 Nc 12, Ste 104, Avon, NC 27915 | 2014-12-01 |
| 1720428097 | Tulsi Sundare Bolwari-andrews | Counselor | 6655 Us Hwy 36, Avon, IN 46123 | 2013-07-01 |
| 1922245240 | Marcia A Hesselgrave | Counselor | 1426 Center Rd., Avon, OH 44011-1214 | 2009-01-08 |
| 1801058508 | Richard L Sudsberry | Counselor | 7519 Beechwood Centre Rd, Suite 400, Avon, IN 46123-7891 | 2008-06-25 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.