Individual provider Active NPI

Gregory B. Gruley, M.A., LPC

  • Professional Counselor
  • Taylor, MI
National Provider Identifier
1093780173
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008944 Issued in MI
Practice address
21751 Ecorse Rd
Taylor, MI 48180-1846
Phone
(313) 291-7000
Fax
(313) 291-0942
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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 6401008944 MI Primary

Addresses

Primary practice location

21751 Ecorse Rd
Taylor, MI 48180-1846

Mailing address

21751 Ecorse Rd
Taylor, MI 48180-1846
Phone (313) 291-7000

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
6401008944MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1093780173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21751 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801846",
            "telephone_number": "313-291-7000",
            "fax_number": "313-291-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21751 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801846",
            "telephone_number": "313-291-7000",
            "fax_number": "313-291-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULEY",
        "first_name": "GREGORY",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.