Andrew Gill, LPC-S, LCDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

62128 Issued in TX

Practice address

1304 W Walnut Hill LN Ste 120
Irving, TX 75038-3002

Phone

(817) 360-5364

Fax

(817) 977-8303

NPI assigned

Jun 10, 2011

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Theocentric Guild & Outrach

  • Counselor
  • Irving, TX
  • NPI 1851074587
  NPD Authorized official
• Tau Healing Services

  • Mental Health Counselor
  • Irving, TX
  • NPI 1346520293

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1184919839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W WALNUT HILL LN STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383002",
            "telephone_number": "817-360-5364",
            "fax_number": "817-977-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W WALNUT HILL LN STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383002",
            "telephone_number": "817-360-5364",
            "fax_number": "817-977-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "ANDREW",
        "credential": "LPC-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10377",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262726999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gibson Pharmacy
• Sidney K Gicheru, MD
• Leanne N Gifford, PT, DPT
• Gifted Hands Housecall Inc
• Alexi Jane Gill, PHARMD
• Shama Gillani, OTR
• John Alex Gillean III, MD
• Myra M Gillean, MD
• Kaitlin Campbell Gillham, DDS
• Gilliam Counseling and Development Inc (Dayspring Counseling Center)

• Mental Health Counselor in Irving, TX
• Providers in Irving, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.