Caroline Stanly Gentry, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701007248 Issued in VA

Practice address

8304 Old Keene Mill Rd
Springfield, VA 22152-1640

Phone

(314) 873-1717

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lina Stanly Gentry Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1942728894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 GREELEY BLVD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522905",
            "telephone_number": "314-873-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8304 OLD KEENE MILL RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521640",
            "telephone_number": "314-873-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "CAROLINE",
        "middle_name": "STANLY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701007248",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "GENTRY",
            "middle_name": "STANLY",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Springfield, VA
• Providers in Springfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.