Individual provider Active NPI

Gregory Earl Mason, LPC-S

  • Professional Counselor
  • College Station, TX
National Provider Identifier
1093288854
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18641 Issued in TX
Practice address
707 Texas Ave S Ste 206a
College Station, TX 77840-1975
Phone
(979) 220-6754
NPI assigned
Jan 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 18641 TX Primary

Addresses

Primary practice location

707 Texas Ave S Ste 206a
College Station, TX 77840-1975

Mailing address

2306 Devonshire St
Bryan, TX 77802-1921
Phone (979) 220-6754

Other practice location 1

2306 Devonshire St
Bryan, TX 77802-1921
Phone (979) 220-6754 ext. 97922

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

State licenses

LicenseStateTypeSpecialty
18641TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1093288854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 DEVONSHIRE ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021921",
            "telephone_number": "979-220-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 TEXAS AVE S STE 206A",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401975",
            "telephone_number": "979-220-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 Devonshire St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778021921",
            "country_code": "US",
            "telephone_number": "979-220-6754 x97922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "GREGORY",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.