Organization Active NPI

Jack Greeson PHD & Associates PC

  • Counselor
  • Victoria, TX
National Provider Identifier
1104889401
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
JACK GREESON PHD & ASSOCIATES PC
Practice address
5606 N Navarro
Ste 209
Victoria, TX 77904
Phone
(361) 578-9190
Fax
(361) 578-9206
NPI assigned
Apr 8, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jack Greeson, PHDNPI 1073579496
Title
Psychologist President
Phone
(361) 578-9190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X

Addresses

NPPES NPI Registry

Primary practice location

5606 N Navarro
Ste 209
Victoria, TX 77904

Mailing address

PO Box 4953
Victoria, TX 77903
Phone (361) 578-9190

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104889401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4953",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77903",
            "telephone_number": "361-578-9190",
            "fax_number": "361-578-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 N NAVARRO",
            "address_2": "STE 209",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-578-9190",
            "fax_number": "361-578-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK GREESON PHD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREESON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PSYCHOLOGIST PRESIDENT",
        "authorized_official_telephone_number": "361-578-9190",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.