Individual provider Active NPI

Margory Ann Cantrell

  • Professional Counselor
  • Wichita Falls, TX
National Provider Identifier
1134784374
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64388 Issued in TX
Practice address
807 8TH St Ste 801
Wichita Falls, TX 76301-3319
Phone
(940) 781-2256
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64388 TX Primary

Addresses

Primary practice location

807 8TH St Ste 801
Wichita Falls, TX 76301-3319

Mailing address

807 8TH St Ste 801
Wichita Falls, TX 76301-3319
Phone (940) 781-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425002963 TX Practitioner - Mental Health Counselor 8224478169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Holliday St
Suite 406
Wichita Falls, TX 76301-7144
Phone (940) 247-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64388TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Margory a Cantrell Ma LPC PLLC CurrentSince Jan 29, 2024 Accepting new patients

Locations

1401 Holliday St
Ste 406
Wichita Falls, TX 76301
Phone (940) 247-4000

807 8th St
Ste 801
Wichita Falls, TX 76301
Phone (940) 247-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1134784374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 8TH ST STE 801",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763013319",
            "telephone_number": "940-781-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 8TH ST STE 801",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763013319",
            "telephone_number": "940-781-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "MARGORY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.