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

Table of content: MR. EUGENE ROBERT GERST JR. LPC, LMFT (NPI 1396863700)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396863700 NPI number — MR. EUGENE ROBERT GERST JR. LPC, LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GERST
Provider First Name:
EUGENE
Provider Middle Name:
ROBERT
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
LPC, LMFT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396863700
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 870
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72203-0870
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-244-9950
Provider Business Mailing Address Fax Number:
501-372-9600

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
820 W 6TH STREET
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-244-9950
Provider Business Practice Location Address Fax Number:
501-372-9600
Provider Enumeration Date:
03/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  P9108014 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: M9710011 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5S487 . This is a "BLUECROSSBLUESHIELD" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".




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