Active NPI
Gregory Allen Rugg, M.ED
- Mental Health Counselor
- Salt Lake City, UT
National Provider Identifier
1184694200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 282617-6009
- Practice address
- 3610 South 1000 West
Salt Lake City, UT 84119-2311 - Phone
- (801) 288-8400
- NPI assigned
- Jan 23, 2006
- 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 | 282617-6009 | UT | Primary |
Addresses
Primary practice location
3610 South 1000 West
Salt Lake City, UT 84119-2311
Mailing address
1958 Meadowland Ave
West Jordan, UT 84084-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28261760000001 | Other | UT | BLUE CROSS PROVIDER # |
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 |
|---|---|---|---|
| 282617-6009 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184694200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 MEADOWLAND AVE",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840842311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 SOUTH 1000 WEST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841192311",
"telephone_number": "801-288-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGG",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "282617-6009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "28261760000001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.