GATEWAY TO CHANGE (NPI# 1952679458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952679458 |
| Entity Type | Organization |
| Organization Name | GATEWAY TO CHANGE |
| Practice Address |
2319 W Capitol Dr Milwaukee WI 53206-1919 |
| Practice Telephone | 4144422033 |
| Mailing Telephone | 4144422033 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | MR. QUIN O GARRETT (CLINICAL SUPERVISOR) |
| Authorized Official Telephone | 4144422033 |
| Authorized Official Credential | MS,CSW,CSAC,CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 396006491 | WI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306126214 | Gateway To Change | Community/Behavioral Health | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-08-23 |
| 1023281987 | Gateway To Change | Community/Behavioral Health | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2008-04-10 |
| Street Address |
2319 W CAPITOL DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53206-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427194877 | James Eddie Moore | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2007-01-30 |
| 1013575125 | Jeffrey A Terrell | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2019-06-04 |
| 1083123905 | Frederica King | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2017-09-22 |
| 1316482334 | Dominique Horton | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2016-12-29 |
| 1972910362 | Larry Stelloh | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2014-07-17 |
| 1174956635 | Maria A Moore | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2013-08-19 |
| 1629329404 | Desilynn G Smith | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2012-09-20 |
| 1538440268 | Carlos B Robinson | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-09-08 |
| 1306126214 | Gateway To Change | Community/Behavioral Health | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-08-23 |
| 1023281987 | Gateway To Change | Community/Behavioral Health | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1114548542 | Mtc Business Consulting & Management | Case Management | 2640 W Fondulac Ave, Milwaukee, WI 53206 | 2020-04-27 |
| 1558837096 | Allen Matthew Alston | Counselor | 2821 N. 4th St M&s Clinical Svc., Suite 210, Milwaukee, WI 53206 | 2018-10-23 |
| 1891282752 | Valerie Oliver | Midwife | 211 W Capital Dr, Milwaukee, WI 53206 | 2018-04-17 |
| 1629586540 | Major Quality Care, LLC | Assisted Living Facility | 3431 N 13th Street, Milwaukee, WI 53206 | 2018-01-12 |
| 1851812879 | Tony Gardner | Counselor | 3948 N. 18th Street, Milwaukee, WI 53206 | 2017-06-29 |
| 1699103010 | Sweet Butterfly Transportation Service LLC | Non-emergency Medical Transport (VAN) | 3331 North 20 Street, Milwaukee, WI 53206 | 2013-10-22 |
| 1043472558 | Josephine Adams | Registered Nurse | 3541 North 20th Street, Milwaukee, WI 53206 | 2008-06-26 |
| 1023280567 | Roundys Supermarkets Inc | Pharmacy | 9200 N Greenbay Road, Brown Deer, WI 53206 | 2008-03-25 |
| 1285797522 | Gerard D Fontaine | Dentist | 2406 W Capitol Dr, Milwaukee, WI 53206 | 2006-12-18 |
| Find all providers in zip 53206 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| 1255844106 | Comprehensive Diagnostic Imaging of Wisconsin, LLC | Clinic/Center | 2500 W Layton Ave Ste 20, Milwaukee, WI 53221-5400 | 2017-11-14 |
| 1265980767 | Wisconsin Healthcare Services | Clinic/Center | 2462 West Lisbon Avenue, Milwaukee, WI 53205 | 2016-09-14 |
| 1861859902 | Wisconsin Healthcare Network LLC | Clinic/Center | 5600 W Brown Deer Rd Ste 228, Milwaukee, WI 53223-2311 | 2016-01-20 |
| 1801229653 | Sixteen Street Community Health Center | Clinic/Center | 1337 S Cesar E Chavez Dr, Milwaukee, WI 53204-2712 | 2013-08-15 |
| 1821333550 | Milwaukee Spine and Joint Center | Clinic/Center | 1631 W Lincoln Ave, Milwaukee, WI 53215-2637 | 2012-12-06 |
| 1003175316 | Healing Center of Milwaukee | Clinic/Center | 5800 W Forest Home Ave, Milwaukee, WI 53220-1954 | 2012-05-07 |
| 1437472172 | Physician Associates of Wisconsin, Sc | Clinic/Center | 7033 Wellauer Dr, Milwaukee, WI 53213-3734 | 2010-03-09 |
| Find all providers in MILWAUKEE | ||||
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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.