MARY GATES-GULLY (MS, CADC) – Addiction (Substance Use Disorder) Counselor, NPI 1013105295

MARY GATES-GULLY (MS, CADC) is a healthcare provider. based in Waterloo, Illinois. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials MS, CADC. They hold a License No. 21816 (IL). The NPI Number for MARY GATES-GULLY (MS, CADC) is 1013105295

Main info

Female
Name
MARY GATES-GULLY (MS, CADC)
NPI
1013105295
Phone
(618) 939-4444
Address
988 N Illinois Route 3
Enumeration Date
12 October 2007
Last Update Date
7 February 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for MARY GATES-GULLY (MS, CADC)

  • 988 N Illinois Route 3

    Waterloo, IL 622981000

    Phone: (618) 939-4444

    Fax: (618) 939-4181

    Type: Location

  • 904 E. MARTIN LUTHER KING DRIVE

    CENTRALIA, IL 62801

    Phone: (618) 533-1391

    Fax: (618) 533-0012

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62298)

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Frequently asked questions

What NPI should I save for MARY GATES-GULLY (MS, CADC)?
Save NPI 1013105295 if you need a stable reference for MARY GATES-GULLY (MS, CADC).
Is MARY GATES-GULLY (MS, CADC)'s NPI currently valid?
The extract we use shows MARY GATES-GULLY (MS, CADC) as active.
What kind of provider is MARY GATES-GULLY (MS, CADC)?
The page reflects Addiction (Substance Use Disorder) Counselor for MARY GATES-GULLY (MS, CADC). Clinical services aligned with this taxonomy classification.
What location shows for MARY GATES-GULLY (MS, CADC)?
We surface Waterloo, Illinois for MARY GATES-GULLY (MS, CADC) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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