Individual provider Active NPI

Amber Lynn Gentry, LMHC

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1235911256
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26729 Issued in FL
Practice address
907 Mar Walt Dr Ste 2022
Fort Walton Beach, FL 32547-6631
Phone
(850) 822-3013
Fax
(850) 374-3192
NPI assigned
Oct 16, 2023
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH26729 FL Primary

Addresses

Primary practice location

907 Mar Walt Dr Ste 2022
Fort Walton Beach, FL 32547-6631

Mailing address

10 Chelsea Dr NW
Fort Walton Beach, FL 32547-1606
Phone (850) 496-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260203001755 FL Practitioner - Mental Health Counselor 7012495757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

907 Mar Walt Dr
Suite 2022
Fort Walton Beach, FL 32547-6631
Phone (850) 822-3013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH26729FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Resilient Counseling Mental Health CurrentSince Dec 20, 2025 Accepting new patients

Locations

907 Mar Walt Dr
Ste 2022
Fort Walton Beach, FL 32547
Phone (850) 243-0095

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1235911256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHELSEA DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471606",
            "telephone_number": "850-496-1280",
            "fax_number": "850-374-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DR STE 2022",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476631",
            "telephone_number": "850-822-3013",
            "fax_number": "850-374-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.