Individual provider Active NPI

Christina Gentry, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1265815708
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92512 Issued in CA
Practice address
141 Duesenberg Dr Ste 15C
Westlake Village, CA 91362-3478
Phone
(805) 644-1650
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF89031 CA
Marriage & Family Therapist 106H00000X 92512 CA Primary

Addresses

Primary practice location

141 Duesenberg Dr Ste 15C
Westlake Village, CA 91362-3478

Mailing address

30700 Russell Ranch Rd Ste 250
Westlake Village, CA 91362-9507
Phone (805) 390-4908

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

State licenses

LicenseStateTypeSpecialty
IMF89031CAMDMental Health Counselor
92512CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Wings Family Counseling Incorporated Marriage & Family Therapist CurrentSince Apr 24, 2022 Accepting new patients
Integrative Sessions CurrentSince Apr 21, 2024 Accepting new patients

Locations

30700 Russell Ranch Rd
Ste 250
Westlake Village, CA 91362
Phone (800) 764-8981

141 Duesenberg Dr
Ste 15C
Westlake Village, CA 91362
Phone (805) 390-4908

3343 Peachtree Rd NE
Ste 180A2243
Atlanta, GA 30326
Phone (805) 390-4908

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1265815708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 250",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913629507",
            "telephone_number": "805-390-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DUESENBERG DR STE 15C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623478",
            "telephone_number": "805-644-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "CHRISTINA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF89031",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.