GATEWAY RECOVERY CENTER II, LLC
NPI 1760118079
Clinic/Center - Rehabilitation, Substance Use Disorder in Brooklyn Park, MN

Active since July 28, 2022CLIA 24D2282450 · Waiver
6840 78TH AVE N, BROOKLYN PARK, MN 55445(651) 587-7181 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Jul 28, 2022 (2 updates tracked since 2022).

About Gateway Recovery Center Ii, Llc NPPES

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

GATEWAY RECOVERY CENTER II, LLC (NPI 1760118079) is a healthcare organization registered as a rehabilitation, substance use disorder in Brooklyn Park, Minnesota and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Stephanie Michele Goode, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760118079
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGATEWAY RECOVERY CENTER II, LLC
Location Address6840 78TH AVE NBrooklyn Park, MN 55445-2760
Mailing Address1663 Celia RdMendota Heights, MN 55118-3604 · (651) 698-7358
Organization SubpartNo
Authorized OfficialStephanie Michele GoodeExecutive Director · (651) 587-7181
Enumeration DateJuly 28, 2022
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1760118079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
6840 78TH AVE N, Brooklyn Park, MN 55445

Accepted Insurance

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 24D2282450

Gateway Recovery Center II, LLC · Brooklyn Park, MN
Active · expires May 21, 2027
CLIA Number24D2282450
Laboratory TypeSubstance Abuse Detox
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorEmily Brunner
Laboratory Phone(612) 454-5000
Laboratory LocationGateway Recovery Center II, LLC6840 78th Ave N, Brooklyn Park, MN 55445
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
6840 78TH AVE N
BROOKLYN PARK, MN 55445
Registered Nurse
6840 78TH AVE N
BROOKLYN PARK, MN 55445

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 Recovery Center II, LLC's NPI number?

The NPI number for Gateway Recovery Center II, LLC is 1760118079. It was assigned to this organization in the NPPES registry on July 28, 2022.

Where is Gateway Recovery Center II, LLC located?

Gateway Recovery Center II, LLC is located at 6840 78th Ave N, Brooklyn Park, MN 55445. The listed phone number is (651) 587-7181.

What is Gateway Recovery Center II, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Gateway Recovery Center II, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2282450) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gateway Recovery Center II, LLC accept?

Health plans from HealthPartners list Gateway Recovery Center II, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gateway Recovery Center II, LLC was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.