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GATEWAY ACADEMY, LLC
NPI 1205291739
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salt Lake City, UT

Active since December 29, 2015CLIA Certified · 2 labs
1390 S 1100 E STE 203, SALT LAKE CITY, UT 84105(801) 523-3479 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2016, Dec 29, 2015 (2 updates tracked since 2015).

About Gateway Academy, Llc NPPES

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

GATEWAY ACADEMY, LLC (NPI 1205291739) is a healthcare organization registered as a mental health (including community mental health center) in Salt Lake City, Utah and active in the NPI registry since December 2015. The organization holds 2 active CLIA laboratory certificates and lists Angie Evans, Bo, as its authorized official.

NPPES Registry Identity

NPI1205291739
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGATEWAY ACADEMY, LLC
Location Address1390 S 1100 E STE 203Salt Lake City, UT 84105-2463
Mailing Address1390 S 1100 E Ste 203Salt Lake City, UT 84105-2463
Phone(801) 523-3479
Organization SubpartNo
Authorized OfficialAngie EvansBo · (801) 766-6604
Enumeration DateDecember 29, 2015
Last NPPES UpdateOctober 12, 20162 updates tracked since enumeration
✔ NPI 1205291739 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
Licenses✔ Licensed in UT · 31810✔ Licensed in UT · 17567
1390 S 1100 E STE 203, Salt Lake City, UT 84105
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CLIA Laboratory Certificates CMS CLIA 2

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 46D2147569

Gateway Academy, LLC · Draper, UT
Active · expires Apr 22, 2028
CLIA Number46D2147569
Laboratory TypeResidential Treatment Cen
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorRebecca A. Garfield
Laboratory Phone(801) 523-3479
Laboratory LocationGateway Academy, LLC941 Cattail Dr, Draper, UT 84020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2147570

Gateway Academy, LLC · Draper, UT
Active · expires Apr 22, 2028
CLIA Number46D2147570
Laboratory TypeResidential Treatment Cen
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorRebecca A. Garfield
Laboratory Phone(801) 523-3479
Laboratory LocationGateway Academy, LLC11706 South 700 East, Draper, UT 84020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

STOKES SMITH CSW, LSAC
Social Worker
1390 S 1100 E STE 203
SALT LAKE CITY, UT 84105
Salt Lake County (801) 983-5700
MS. SUSAN CURTIS L.P.C.
Counselor (Mental Health)
1390 S 1100 E STE 203
SALT LAKE CITY, UT 84105
Salt Lake County (801) 597-3717
MINDY JO VANDERLOO CPCI
Counselor (Mental Health)
1390 S 1100 E STE 203
SALT LAKE CITY, UT 84105
Salt Lake County (801) 510-5231
MRS. JULIE ANN WRIGHT LCSW
Counselor (Mental Health)
1390 S 1100 E STE 203
SALT LAKE CITY, UT 84105
Salt Lake County (801) 518-1720
SUSAN CURTIS, CMHC, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1390 S 1100 E STE 203
SALT LAKE CITY, UT 84105
Salt Lake County (801) 597-3717
STEPHANIE FOSTER
Counselor
1390 S 1100 E STE 203
SALT LAKE CITY, UT 84105
Salt Lake County (801) 983-5700

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 Academy, LLC's NPI number?

The NPI number for Gateway Academy, LLC is 1205291739. It was assigned to this organization in the NPPES registry on December 29, 2015.

Where is Gateway Academy, LLC located?

Gateway Academy, LLC is located at 1390 S 1100 E Ste 203, Salt Lake City, UT 84105. The listed phone number is (801) 523-3479.

What is Gateway Academy, LLC'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 Academy, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gateway Academy, LLC was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.