Individual provider Active NPI

Daniel L. Gregerson, LCPC

  • Professional Counselor
  • Kalispell, MT
National Provider Identifier
1033236344
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
838-LCPC Issued in MT
Practice address
690 N Meridian Rd Ste 204
Kalispell, MT 59901-3508
Phone
(406) 249-5611
NPI assigned
Mar 23, 2007
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 838-LCPC MT Primary

Addresses

Primary practice location

690 N Meridian Rd Ste 204
Kalispell, MT 59901-3508

Mailing address

PO Box 935
Marion, MT 59925-0935
Phone (406) 249-5611

Other identifiers 1

IdentifierTypeStateIssuer
0000251821MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326001158 MT Practitioner - Mental Health Counselor 7719322395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

690 N Meridian Rd
Suite 213
Kalispell, MT 59901-3508
Phone (406) 249-5611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
838-LCPCMTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Gregerson Counseling CurrentSince Jan 13, 2024 Accepting new patients
Hayley Allen-Blakney, LCSW, PLLC Current Accepting new patients

Locations

1860 US Highway 93 N
Kalispell, MT 59901
Phone (406) 309-7500

690 N Meridian Rd
Ste 204
Kalispell, MT 59901
Phone (406) 249-5611

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1033236344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "MARION",
            "state": "MT",
            "postal_code": "599250935",
            "telephone_number": "406-249-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD STE 204",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013508",
            "telephone_number": "406-249-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGERSON",
        "first_name": "DANIEL",
        "middle_name": "L.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "838-LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000251821",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.