MICAH CAMERON GULTERY
NPI 1831782556
Counselor - Professional in Dallas, TX

Active since February 12, 2021PECOS Enrolled
8915 HARRY HINES BLVD, DALLAS, TX 75235(469) 203-5302 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Micah Cameron Gultery NPPES

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

MICAH CAMERON GULTERY (NPI 1831782556) is an individual professional provider in Dallas, Texas, licensed in Texas (94050) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831782556
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICAH CAMERON GULTERY
Location Address8915 HARRY HINES BLVDDallas, TX 75235-1717
Mailing Address8111 Lbj Fwy Ste 900Dallas, TX 75251-1322 · (469) 203-5302
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 12, 2021
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1831782556 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 TX · 94050
8915 HARRY HINES BLVD, Dallas, TX 75235

Secondary Practice Location 1

Location 18111 Lbj Fwy Ste 900Dallas, TX 75251-1322 · Phone (214) 366-9407

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micah Cameron Gultery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739665779
PECOS Enrollment IDI20260109001618
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 Micah Gultery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
8111 LYNDON B JOHNSON FWY STE 900
Dallas, TX 75251
  • Reassigned Medicare billing, Texas enrollment
  • 86 clinicians in this Medicare group

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.

Community Health Worker
8915 HARRY HINES BLVD
DALLAS, TX 75235
Community Health Worker
8915 HARRY HINES BLVD
DALLAS, TX 75235
Case Manager/Care Coordinator
8915 HARRY HINES BLVD
DALLAS, TX 75235
Community Health Worker
8915 HARRY HINES BLVD
DALLAS, TX 75235
Community Health Worker
8915 HARRY HINES BLVD
DALLAS, TX 75235
Counselor (Mental Health)
8915 HARRY HINES BLVD
DALLAS, TX 75235
Social Worker
8915 HARRY HINES BLVD
DALLAS, TX 75235
Community Health Worker
8915 HARRY HINES BLVD
DALLAS, TX 75235

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 Micah Gultery's NPI number?

The NPI number for Micah Gultery is 1831782556. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Where is Micah Gultery located?

Micah Gultery practices at 8915 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (469) 203-5302.

What is Micah Gultery's specialty?

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

Is Micah Gultery enrolled in Medicare?

Yes. Micah Gultery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Micah Gultery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Micah Gultery reassigns Medicare benefits to North Texas Behavioral Health Authority (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micah Gultery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Micah Gultery accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Micah Gultery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micah Gultery was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.