Individual provider Active NPI

Stephanie Kosut Gregory, LPC-S

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1083932115
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65424 Issued in TX
Practice address
620 Longmire Rd
Conroe, TX 77304-1819
Phone
(936) 443-9629
Fax
(855) 443-9630
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Professional Counselor 101YP2500X 65424 TX Primary
Counselor 101Y00000X 65424 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 65424 TX
Mental Health Counselor 101YM0800X 65424 TX

Addresses

Primary practice location

620 Longmire Rd
Conroe, TX 77304-1819

Mailing address

620 Longmire Rd
Conroe, TX 77304-1819
Phone (936) 443-9629

Other practice location 1

26310 Oak Ridge Dr Ste 36
Spring, TX 77380-3777
Phone (936) 443-9629

Other identifiers 1

IdentifierTypeStateIssuer
2200156-03MedicaidTX

Other names 1

  • Stephanie Jo Kosut Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240402004252 TX Practitioner - Mental Health Counselor 8628421203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

620 Longmire Rd
Conroe, TX 77304-1819
Phone (936) 443-9629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65424TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prevail Counseling and Forensic Mental Health, Mental Health CurrentSince Jul 24, 2022 Accepting new patients
Prevail Counseling & Forensic Mental Health Consulting, P.C. Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

620 Longmire Rd
Conroe, TX 77304
Phone (855) 443-9629

1325 Windsor St
Huntsville, TX 77340
Phone (936) 291-7928

26310 Oak Ridge Dr
Ste 36
Spring, TX 77380
Phone (936) 443-9629

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1083932115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LONGMIRE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041819",
            "telephone_number": "936-443-9629",
            "fax_number": "855-443-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LONGMIRE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041819",
            "telephone_number": "936-443-9629",
            "fax_number": "855-443-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26310 Oak Ridge Dr Ste 36",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773803777",
            "country_code": "US",
            "telephone_number": "936-443-9629",
            "fax_number": "855-443-9630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "STEPHANIE",
        "middle_name": "KOSUT",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65424",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "65424",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "65424",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200156-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KOSUT",
            "middle_name": "JO",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.