Individual provider Active NPI

Amy Michelle Archuleta, LMFT

  • Marriage & Family Therapist
  • Abilene, TX
National Provider Identifier
1215779046
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201344 Issued in TX
Practice address
7171 Buffalo Gap Rd
Abilene, TX 79606-5450
Phone
(325) 692-8080
NPI assigned
Jun 11, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 201344 TX Primary

Addresses

Primary practice location

7171 Buffalo Gap Rd
Abilene, TX 79606-5450

Mailing address

4635 Southwest Fwy Ste 635
Houston, TX 77027-7112
Phone (325) 668-0545

Other practice location 1

1751 N 15th St
Abilene, TX 79603-4430
Phone (325) 668-0545

Other practice location 2

1690 N Treadaway Blvd
Abilene, TX 79601-3051
Phone (325) 668-0545

Other names 1

  • Amy Michelle Gunn Former name

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
I20240620002907 TX Practitioner - Marriage and Family Therapist 8325581168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care Dallas I LLCGroup PAC ID 3375717044, 72 clinicians

Practice addresses (Care Compare)

1751 N 15TH St
Coronado Nursing Center
Abilene, TX 79603-4430
Phone (325) 673-3531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201344TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Dallas I, LLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

1751 N 15th St
Abilene, TX 79603
Phone (325) 673-3531

7171 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 692-8080

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1215779046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY STE 635",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277112",
            "telephone_number": "325-668-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065450",
            "telephone_number": "325-692-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 N 15th St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796034430",
            "country_code": "US",
            "telephone_number": "325-668-0545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 N Treadaway Blvd",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796013051",
            "country_code": "US",
            "telephone_number": "325-668-0545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GUNN",
            "middle_name": "MICHELLE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.