Active NPI
Barry M. Gregory, ED.D., M.ED., LMHC,
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1154614659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7413
- Practice address
- 2200 N. Florida Mango Road
West Palm Beach, FL 33409 - Phone
- (561) 296-5288
- Fax
- (561) 297-5287
- NPI assigned
- May 17, 2011
- Last updated
- Dec 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7413 | FL | Primary |
Addresses
Primary practice location
2200 N. Florida Mango Road
West Palm Beach, FL 33409
Mailing address
2200 N. Florida Mango Road
33409
West Palm Beach, FL 33409
Phone (561) 637-2156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH7413 | Other | FL | FLORIDA MEDICAL LICENSE |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7413 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1154614659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 N. FLORIDA MANGO ROAD",
"address_2": "33409",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-637-2156",
"fax_number": "561-637-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N. FLORIDA MANGO ROAD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-296-5288",
"fax_number": "561-297-5287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "BARRY",
"middle_name": "M.",
"credential": "ED.D., M.ED., LMHC,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "MH7413",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.