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1396863700 NPI number — EUGENE ROBERT GERST JR. LPC, LMFT

NPI Number: 1396863700
Health Care Provider/Practitioner: EUGENE ROBERT GERST JR. LPC, LMFT

Information about “1396863700” NPI (EUGENE ROBERT GERST JR. LPC, LMFT) exists in 1396863700 in HTML format HTML  |  1396863700 in plain Text format TXT  |  1396863700 in PDF (Portable Document Format) PDF  |  1396863700 in an XML format XML  formats.

NPI Number : 1396863700 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396863700",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GERST",
    "FirstName": "EUGENE",
    "MiddleName": "ROBERT",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "LPC, LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 870",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72203-0870",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-244-9950",
    "MailingAddressFaxNumber": "501-372-9600",
    "FirstLinePracticeLocationAddress": "820 W 6TH STREET",
    "SecondLinePracticeLocationAddress": "STE 200",
    "PracticeLocationAddressCityName": "LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-244-9950",
    "PracticeLocationAddressFaxNumber": "501-372-9600",
    "EnumerationDate": "03/26/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "P9108014",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "M9710011",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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