NANNA GUSTIN (LPC) – Mental Health Counselor, NPI 1033867734

NANNA GUSTIN (LPC) is a healthcare provider. based in Amarillo, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 61153 (TX). The NPI Number for NANNA GUSTIN (LPC) is 1033867734

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
NANNA GUSTIN (LPC)
NPI
1033867734
Phone
(806) 681-5025
Address
6319 OAKCREST LN
Enumeration Date
13 March 2022
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059026347
Graduation Year
2004 (22 years ago)
PAC ID
7012455397
Group Practice PAC ID
9537586052
Professional Enrollment ID
I20240817000451
Address ID
TX791096990AM6319XLNXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for NANNA GUSTIN (LPC)

  • 6319 OAKCREST LN

    AMARILLO, TX 791096990

    Phone: (806) 681-5025

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240817000451IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537586052View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorTX
Clinical Social WorkerOH
Clinical Social WorkerIL
Mental Health CounselorGA
Mental Health CounselorTX
Mental Health CounselorTX
Mental Health CounselorIL
Mental Health CounselorTX
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for NANNA GUSTIN (LPC)?
Save NPI 1033867734 if you need a stable reference for NANNA GUSTIN (LPC).
Is NANNA GUSTIN (LPC)'s NPI currently valid?
The extract we use shows NANNA GUSTIN (LPC) as active.
Does NANNA GUSTIN (LPC) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for NANNA GUSTIN (LPC). Clinical services aligned with this taxonomy classification.
Where does public data place NANNA GUSTIN (LPC)?
The snapshot lists Amarillo, Texas for NANNA GUSTIN (LPC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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