Active NPI
Nancy Lynn Gregerson, LPCC
- Professional Counselor
- Northfield, MN
National Provider Identifier
1104993781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC00033
- Practice address
- 818 College St
Northfield, MN 55057-2538 - Phone
- (507) 663-1638
- NPI assigned
- Nov 29, 2006
- Last updated
- May 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC00033 | MN | Primary |
Addresses
Primary practice location
818 College St
Northfield, MN 55057-2538
Mailing address
818 College St
Northfield, MN 55057-2538
Phone (507) 663-1638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-92163 | Other | MN | MEDICA PROVIDER NO. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CC00033 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1104993781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 COLLEGE ST",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572538",
"telephone_number": "507-663-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 COLLEGE ST",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572538",
"telephone_number": "507-663-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGERSON",
"first_name": "NANCY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC00033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER NO.",
"identifier": "62-92163",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.