Gateway Professional Services, PC
NPI 1679111058ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Chicago, IL
Counselor, Addiction (Substance Use Disorder) in Chicago, Illinois, registered in NPPES in December 2019, part of Gateway Professional Services, PC. The authorized official on file is Roueen Rafeyan, President.
Overview
| NPI | 1679111058 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Gateway Professional Services, PC |
| NPI issued | Dec 16, 2019 |
| Last updated in NPPES | Jun 14, 2024 |
| Certified by provider | Jun 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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