GATEWAY TO SUCCESS, PC - NPI 1477144756 - Clinic/Center in Canon City, CO

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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About Gateway To Success, Pc NPPES

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

GATEWAY TO SUCCESS, PC (NPI 1477144756) is a healthcare organization registered as a mental health (including community mental health center) in Canon City, Colorado and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Karen S Morgenthaler, Executive Director, as its authorized official.Information from the official NPPES registry record, last updated January 29, 2021.

NPPES Registry Identity

NPI1477144756

Entity TypeOrganization

Legal Business NameGATEWAY TO SUCCESS, PC

Location Address602 YALE PLCanon City, CO 81212-4611

Mailing AddressPo Box 1748Canon City, CO 81215-1748 · (719) 275-0700 · Fax (719) 896-2874

Phone(719) 275-0700

Fax(719) 896-2874

Organization SubpartYesParent: Gateway To Success

Authorized OfficialKaren S MorgenthalerExecutive Director · (719) 275-0700

Enumeration DateJanuary 29, 2021

NPPES CertifiedJanuary 8, 2021

✔ NPI 1477144756 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Clinic/Center · Mental Health (Including Community Mental Health Center)

Taxonomy 261QM0801X · Ambulatory Health Care Facilities

602 YALE PL, Canon City, CO 81212

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CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 06D2112901
Facility Type: Practitioner Other
Certificate Effective Date: May 11, 2026
Certificate Expiration Date: May 10, 2028
Laboratory Director: KAREN S. MORGANTHALER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Gateway To Success, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.