GATEWAY COMMUNITY SERVICES, INC.
NPI 1124783477
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, FL

Active since November 02, 2021CLIA 10D1037601 · Waiver
2133 BROADWAY AVE, JACKSONVILLE, FL 32209(904) 361-5010(904) 384-2299 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2022, Dec 6, 2021, Nov 2, 2021 (3 updates tracked since 2021).

About Gateway Community Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY COMMUNITY SERVICES, INC. (NPI 1124783477) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Cynthia Mercado, Director Of Um/ur, as its authorized official.

NPPES Registry Identity

NPI1124783477
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGATEWAY COMMUNITY SERVICES, INC.
Location Address2133 BROADWAY AVEJacksonville, FL 32209-7513
Mailing Address555 Stockton StJacksonville, FL 32204-2534 · (904) 387-4661 · Fax (904) 389-8758
Fax(904) 384-2299
Organization SubpartYes
Authorized OfficialCynthia MercadoDirector Of Um/ur · (904) 718-8606
Enumeration DateNovember 2, 2021
Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1124783477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2133 BROADWAY AVE, Jacksonville, FL 32209

Other Identifiers 6

Other1659541654FL · Npi
Other1619411279FL · Npi
Other1316376585FL · Npi
Other1689252314FL · Npi
Other1811393499FL · Npi
Other1427184308FL · Npi

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1037601

Gateway Community Services Inc · Jacksonville, FL
Active · expires Feb 28, 2027
CLIA Number10D1037601
Laboratory TypeAddiction Treatment
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorRaymond Pomm
Laboratory Phone(904) 387-4661
Laboratory LocationGateway Community Services Inc555 Stockton St, Jacksonville, FL 32204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
2133 BROADWAY AVE
JACKSONVILLE, FL 32209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Community Services, Inc.'s NPI number?

The NPI number for Gateway Community Services, Inc. is 1124783477. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Gateway Community Services, Inc. located?

Gateway Community Services, Inc. is located at 2133 Broadway Ave, Jacksonville, FL 32209. The listed phone number is (904) 361-5010.

What is Gateway Community Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Gateway Community Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1037601) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gateway Community Services, Inc. was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.