NPIMap

Individual provider Active NPI

Andy Luther Gentry, LPC-S; LMFT; LCDC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1730747197
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9272 Issued in TX
Practice address
6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056
Phone
(682) 312-8184
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1882 TX
Pastoral Counselor 101YP1600X 3472 TX
School Counselor 101YS0200X 3472 TX
Marriage & Family Therapist 106H00000X 1367 TX
Mental Health Counselor 101YM0800X 9272 TX Primary

Addresses

Primary practice location

6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056

Mailing address

6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056
Phone (682) 312-8184

Other practice location 1

8621 Mid Cities Blvd Ste 300
North Richland Hills, TX 76182-4711
Phone (682) 312-8184

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
9272TXMDMental Health Counselor
3472TXMDPastoral Counselor
1367TXMDMarriage & Family Therapist
1882TXMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Behavioral Health Center PLLC PastSince Dec 3, 2023 Accepting new patients
The Oaks Life Center, PLLC Mental Health PastSince Oct 23, 2015 Accepting new patients

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1730747197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 REEF POINT LN STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352056",
            "telephone_number": "682-312-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 REEF POINT LN STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352056",
            "telephone_number": "682-312-8184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8621 Mid Cities Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761824711",
            "country_code": "US",
            "telephone_number": "682-312-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "ANDY",
        "middle_name": "LUTHER",
        "name_prefix": "Mr.",
        "credential": "LPC-S; LMFT; LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1882",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": "3472",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "3472",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1367",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "9272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.