Active NPI
Charles William Lowell Gill, LPC, LSOTP
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1730702887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75578
- Practice address
- 4605 50TH St
Lubbock, TX 79414-4088 - Phone
- (806) 337-0823
- NPI assigned
- May 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75578 | TX | Primary |
Addresses
Primary practice location
4605 50TH St
Lubbock, TX 79414-4088
Mailing address
4605 50TH St
Suite 209
Lubbock, TX 79414
Phone (806) 337-0823
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 |
|---|---|---|---|
| 75578 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1730702887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 50TH ST",
"address_2": "SUITE 209",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79414",
"telephone_number": "806-337-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 50TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144088",
"telephone_number": "806-337-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "CHARLES",
"middle_name": "WILLIAM LOWELL",
"credential": "LPC, LSOTP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-24",
"last_updated": "2021-12-20",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.