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

Q: 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.

Q: What is Micah Gultery's specialty?

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

Q: 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 60 days 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 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: August 09, 2026.

On this page

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

Phone(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

Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 CARTER

Community Health Worker