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MRS. LISA RENE GENTRY MA, NCC, LPC
NPI 1649545963
Counselor - Professional in Pekin, IL

Active since March 20, 2012
901 BROADWAY ST, PEKIN, IL 61554(309) 353-2079 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa Rene Gentry Ma, Ncc, Lpc NPPES

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

MRS. LISA RENE GENTRY MA, NCC, LPC (NPI 1649545963) is an individual professional provider in Pekin, Illinois, licensed in Illinois (178.007629) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1649545963
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LISA RENE GENTRYCredential: MA, NCC, LPC
Location Address901 BROADWAY STPekin, IL 61554-4768
Mailing Address901 Broadway StPekin, IL 61554-4768 · (309) 353-2079
Phone(309) 353-2079
Sole ProprietorYes
Enumeration DateMarch 20, 2012
✔ NPI 1649545963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.007629
901 BROADWAY ST, Pekin, IL 61554
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Gentry's NPI number?

The NPI number for Lisa Gentry is 1649545963. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Lisa Gentry located?

Lisa Gentry practices at 901 Broadway St, Pekin, IL 61554. The listed phone number is (309) 353-2079.

What is Lisa Gentry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lisa Gentry was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.