GATEWAY TO CHANGE (NPI# 1306126214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306126214 |
| Entity Type | Organization |
| Organization Name | GATEWAY TO CHANGE |
| Practice Address |
2319 W Capitol Dr Milwaukee WI 53206-1919 |
| Practice Telephone | 4144422033 |
| Practice Fax Number | 4144422167 |
| Mailing Telephone | 4144422033 |
| Mailing Fax Number | 4144422167 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Authorized Official Name | MRS. GLENDA HAMPTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4144422033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 42232700 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 396006491 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952679458 | Gateway To Change | Clinic/Center | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-12-12 |
| 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 |
| 1952679458 | Gateway To Change | Clinic/Center | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-12-12 |
| 1538440268 | Carlos B Robinson | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-09-08 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| 1194233718 | The Evolving Chair Counseling and Consulting Agency | Community/Behavioral Health | 3100 N 78th St, Milwaukee, WI 53222-3916 | 2018-01-17 |
| 1316453905 | D.a.a.n.i Professional Counseling Service LLC | Community/Behavioral Health | 2943 N 52nd St, Milwaukee, WI 53210-1610 | 2017-12-19 |
| 1932654845 | The Thresholds | Community/Behavioral Health | 6815 W Capitol Dr # 305, Milwaukee, WI 53216-2070 | 2016-08-20 |
| 1801341144 | Fly Philanthropy Inc | Community/Behavioral Health | 3352 N Palmer St, Milwaukee, WI 53212-1541 | 2016-08-16 |
| 1659726545 | Pathway Youth & Famiy Services | Community/Behavioral Health | 3879 N Port Washington Rd, Milwaukee, WI 53212-1180 | 2016-04-27 |
| 1528413671 | Adventures In Play, LLC | Community/Behavioral Health | 2118 E Kenilworth Pl, Lowr, Milwaukee, WI 53202-1327 | 2016-04-26 |
| 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.