Active NPI
David Whelchel Gentry, MSSW
- Mental Health Counselor
- Kings Mountain, NC
National Provider Identifier
1730127911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C003234
- Practice address
- 533 Patterson Rd
Kings Mountain, NC 28086-8924 - Phone
- (704) 739-0365
- Fax
- (877) 416-0624
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C003234 | NC | Primary |
Addresses
Primary practice location
533 Patterson Rd
Kings Mountain, NC 28086-8924
Mailing address
533 Patterson Rd
Kings Mountain, NC 28086-8924
Phone (704) 739-0365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002011 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C003234 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1730127911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 PATTERSON RD",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280868924",
"telephone_number": "704-739-0365",
"fax_number": "877-416-0624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 PATTERSON RD",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280868924",
"telephone_number": "704-739-0365",
"fax_number": "877-416-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "DAVID",
"middle_name": "WHELCHEL",
"name_prefix": "Mr.",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "C003234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002011",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kings Mountain, NC
- Gaston Family Health Services, Inc. (Kintegra at Kings Mountain Middle)
- Gaston Family Health Services, Inc. (Kintegra at Kings Mountain Intermediate)
- Gaston Family Health Services, Inc. (Kintegra Family Medicine - Kings Mountain West)
- Gaurang Palikh, MD, PC
- Deepak Ramchandra Gelot., M.D.
- George & Dest, DDS, PLLC (Dest Family Dentistry of Kings Mountain)
- Donnell Gill
- Donald James Gloege, LCSW, LISW-CP, BCD
- Ruby Katherine Gordon, MA,EDS,LPC
- McGovern Greeley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.