Individual provider Active NPI

Christopher Lee Gentry, BSIHS BS CDCA NRCMA

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
National Provider Identifier
1184197006
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.175211 Issued in OH
Practice address
240 Parsons Ave
Columbus, OH 43215-5331
Phone
(614) 645-6792
Fax
(614) 645-6091
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X CDCA.175211 OH Primary

Addresses

Primary practice location

240 Parsons Ave
Columbus, OH 43215-5331

Mailing address

240 Parsons Ave
Columbus, OH 43215-5331
Phone (614) 645-6792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
CDCA.175211OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1184197006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155331",
            "telephone_number": "614-645-6792",
            "fax_number": "614-645-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155331",
            "telephone_number": "614-645-6792",
            "fax_number": "614-645-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "BSIHS BS CDCA NRCMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.175211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.