Active NPI
Jack Greever, LMSW. LMAC
- Addiction (Substance Use Disorder) Counselor
- Newton, KS
National Provider Identifier
1154735454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LMAC437
- Practice address
- 1309 N Duncan St
Newton, KS 67114-5704 - Phone
- (785) 230-7394
- Fax
- (785) 267-0573
- NPI assigned
- Jun 13, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1053 | KS | |
| Social Worker | 104100000X | LMSW10391 | KS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LMAC437 | KS | Primary |
Addresses
Primary practice location
1309 N Duncan St
Newton, KS 67114-5704
Mailing address
130 E 5TH St
PO Box 711
Newton, KS 67114-2206
Phone (316) 283-6743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100106710 S | Medicaid | KS |
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 |
|---|---|---|---|
| LMAC437 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| LMSW10391 | KS | MD | Social Worker |
| 1053 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mirror, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1154735454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E 5TH ST",
"address_2": "PO BOX 711",
"city": "NEWTON",
"state": "KS",
"postal_code": "671142206",
"telephone_number": "316-283-6743",
"fax_number": "316-283-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 N DUNCAN ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671145704",
"telephone_number": "785-230-7394",
"fax_number": "785-267-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEVER",
"first_name": "JACK",
"credential": "LMSW. LMAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "1053",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "LMSW10391",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "LMAC437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100106710 S",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.