Gregory Jurica, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1300561 Issued in OH

Practice address

6101 Whipple Ave NW
North Canton, OH 44720-7617

Phone

(330) 537-8114

Fax

(330) 537-8063

NPI assigned

Sep 24, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Kent State University College of Podiatric Medicine, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: greg.jurica@chci.eclinicaldirectplus.com
• Direct secure messaging: gregory.jurica@chci.eclinicaldirectplus.com

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.

• Community Health Care Inc.

  • Family Medicine Physician
  • Canal Fulton, OH
  • NPI 1114902137
  NPD
• Radiology Associates of Canton, Inc.

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1912982034
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1215339916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932909",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441932909",
            "telephone_number": "330-854-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207617",
            "telephone_number": "330-537-8114",
            "fax_number": "330-537-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURICA",
        "first_name": "GREGORY",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1300561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gregory.Jurica@chci.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Care Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7452 Fulton Dr NW Ste B",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446469393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Josephine Joye
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• Angela Juergens, COTA/L
• Christina Denise Juhasz, LPN
• Julie M Thomas DDS LLC
• Theresa D Kaderly, COTA/L
• Annie Elisabeth Kadlecek
• Cole M Kager
• Susan Marie Kaiser, DVM
• Lauren A Kakavros, COTA/L

• Professional Counselor in North Canton, OH
• Providers in North Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.