MR. JAMES R. GENTRY JR. LPC
NPI 1447376546
Counselor - Mental Health in Russellville, AR

Q: What is James Gentry's NPI number?

The NPI number for James Gentry is 1447376546. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is James Gentry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for James Gentry was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2007PECOS Enrolled

110 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 968-1298(479) 968-6053 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. James R. Gentry Jr. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES R. GENTRY JR. LPC (NPI 1447376546) is an individual mental health provider in Russellville, Arkansas, licensed in Arkansas (P0611062) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1447376546

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JAMES R. GENTRY JR.Credential: LPC

Location Address110 SKYLINE DRRussellville, AR 72801-3362

Mailing Address110 Skyline DrRussellville, AR 72801-3362 · (479) 967-5570 · Fax (479) 890-5364

Phone(479) 968-1298

Fax(479) 968-6053

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMarch 21, 2007

Last NPPES UpdateFebruary 6, 2020

✔ NPI 1447376546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AR · P0611062

110 SKYLINE DR, Russellville, AR 72801

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Other Identifiers 1

Medicaid226868719AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James R. Gentry Jr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103394747

PECOS Enrollment IDI20260501002401

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Gentry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling Associates Inc

Same address

Community/Behavioral Health

110 SKYLINE DRIVE
Russellville, AR 72801

Reassigned Medicare billing, Arkansas enrollment
79 clinicians in this Medicare group

NPI 1649381120 (479) 968-1298

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN ROSHAWN FORD

Counselor (Mental Health)