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GATEWAY PROFESSIONAL SERVICES, PC
NPI 1285272591
Counselor - Addiction (Substance Use Disorder) in Springfield, IL

Active since December 17, 2019
2200 LAKE VICTORIA DR, SPRINGFIELD, IL 62703(877) 381-6538 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2024, Dec 19, 2019 (2 updates tracked since 2019).

About Gateway Professional Services, Pc NPPES

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

GATEWAY PROFESSIONAL SERVICES, PC (NPI 1285272591) is a healthcare organization registered as an addiction (substance use disorder) in Springfield, Illinois and active in the NPI registry since December 2019. The organization lists Roueen Rafeyan, President, as its authorized official.

NPPES Registry Identity

NPI1285272591
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameGATEWAY PROFESSIONAL SERVICES, PC
Location Address2200 LAKE VICTORIA DRSpringfield, IL 62703-5596
Mailing Address55 E Jackson Blvd Ste 1500Chicago, IL 60604-4184 · (312) 663-1130 · Fax (312) 663-0504
Phone(877) 381-6538
Organization SubpartYes
Authorized OfficialRoueen RafeyanPresident · (312) 663-1130
Enumeration DateDecember 17, 2019
Last NPPES UpdateJune 14, 20242 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1285272591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
2200 LAKE VICTORIA DR, Springfield, IL 62703
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

MS. HEATHER LYN DUARTE
Nurse Practitioner (Psychiatric/Mental Health)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (312) 913-2361
GINA HOWARD LPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266
JENNIE MCCORMICK LPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266
GATEWAY FOUNDATION, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (877) 505-4673
KELLIE BRAND LCPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (312) 663-1130
SALLY-ANN TAMIZUDDIN APRN
Nurse Practitioner (Psychiatric/Mental Health)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266
CLAYTON GERALD PARKS M.D.
Psychiatry & Neurology (Psychiatry)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266
THOMAS J BECK LPC
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Sangamon County (217) 529-9266

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 Professional Services, PC's NPI number?

The NPI number for Gateway Professional Services, PC is 1285272591. It was assigned to this organization in the NPPES registry on December 17, 2019.

Where is Gateway Professional Services, PC located?

Gateway Professional Services, PC is located at 2200 Lake Victoria Dr, Springfield, IL 62703. The listed phone number is (877) 381-6538.

What is Gateway Professional Services, PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gateway Professional Services, PC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.