Individual provider Active NPI

Gregory Hisscock, M.A., L.P.C.

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1033525803
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0011625 Issued in CO
Practice address
758 Sherman St
Denver, CO 80203-3511
Phone
(303) 831-9344
Fax
(303) 831-9347
NPI assigned
Jul 1, 2014
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0011625 CO Primary

Addresses

Primary practice location

758 Sherman St
Denver, CO 80203-3511

Mailing address

758 Sherman St
Denver, CO 80203-3511
Phone (303) 831-9344

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

LicenseStateTypeSpecialty
LPC.0011625COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Therapy Systems Past Accepting new patients

Organizations & group practices 1

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1033525803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033511",
            "telephone_number": "303-831-9344",
            "fax_number": "303-831-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033511",
            "telephone_number": "303-831-9344",
            "fax_number": "303-831-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISSCOCK",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0011625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.