Active NPI
Gregory H Meyer, M.A. L.P.
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1033203286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP3614
- Practice address
- 989 Cromwell Ave
Suite 330
Saint Paul, MN 55114-1122 - Phone
- (651) 642-9255
- Fax
- (651) 642-1506
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP3614 | MN | Primary |
Addresses
Primary practice location
989 Cromwell Ave
Suite 330
Saint Paul, MN 55114-1122
Mailing address
989 Cromwell Ave
Suite 330
Saint Paul, MN 55114-1122
Phone (651) 642-9255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30Q94ME | Other | MN | BLUE CROSS/BLUE SHIELD |
| 6290028 | Other | MN | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3614 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033203286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 CROMWELL AVE",
"address_2": "SUITE 330",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141122",
"telephone_number": "651-642-9255",
"fax_number": "651-642-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 CROMWELL AVE",
"address_2": "SUITE 330",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141122",
"telephone_number": "651-642-9255",
"fax_number": "651-642-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "GREGORY",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "M.A. L.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP3614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "30Q94ME",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6290028",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.