GATEWAY YOUTH SERVICES – NPI #1891053344
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

GATEWAY YOUTH SERVICES is a residential treatment facility located in STAFFORD, VA. NPPES has assigned the NPI number 1891053344 to GATEWAY YOUTH SERVICES on May 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GATEWAY YOUTH SERVICES” is a dba name, the actual legal business name for this organization is GATEWAY COUNSELING CENTER. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 2 years ago on Apr 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GATEWAY YOUTH SERVICES below.

NPI Profile for
GATEWAY COUNSELING CENTER

NPI Number
1891053344
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GATEWAY COUNSELING CENTER
Doing Business As (dba): GATEWAY YOUTH SERVICES
Primary location
400 HOPE ROAD
STAFFORD, VA 22554
Phone: (703) 309-9852 Fax:
Mailing address
PO BOX 547
STAFFORD, VA 22555
Phone: (703) 309-9852 Fax:
Organization Subpart
No
Authorized Official
KATHLEEN FITZSIMMONS
CAO/CLINICAL DIRECTOR
Phone: (703) 309-9852
Updated
Certification Date
Apr 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.