Theocentric Guild & Outrach

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

THEOCENTRIC GUILD & OUTRACH

Practice address

1304 W Walnut Hill LN Ste 120
Irving, TX 75038-3002

Phone

(817) 360-5364

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Andrew GillNPI 1184919839

Title

Executive Director

Phone

(817) 360-5364

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Gill, LPC-S, LCDC

  • Mental Health Counselor
  • Irving, TX
  • NPI 1184919839
  NPD Authorized official
• Jennifer Carreon, LCSW

  • Clinical Social Worker
  • Irving, TX
  • NPI 1992649099
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1851074587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W WALNUT HILL LN STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383002",
            "telephone_number": "817-360-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W WALNUT HILL LN STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383002",
            "telephone_number": "817-360-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEOCENTRIC GUILD & OUTRACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-360-5364"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Irving, TX
• Providers in Irving, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.