Individual provider Active NPI

Bruce A Gregory, MA, LPC

  • Mental Health Counselor
  • Marshalltown, IA
National Provider Identifier
1316014046
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00975 Issued in IA
Practice address
9 N 4TH Ave
Marshalltown, IA 50158-1836
Phone
(641) 752-1585
Fax
(641) 752-9665
NPI assigned
Nov 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00975 IA Primary

Addresses

Primary practice location

9 N 4TH Ave
Marshalltown, IA 50158-1836

Mailing address

9 N 4TH Ave
Marshalltown, IA 50158-1836
Phone (641) 752-1585

Other practice location 1

1309 S Broadway St
Toledo, IA 52342-2307
Phone (641) 752-1585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000587 IA Practitioner - Mental Health Counselor 6204284516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

Practice addresses (Care Compare)

709 W Main St
Manchester, IA 52057-1526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00975IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Memorial Hospital CurrentSince Jan 1, 2024 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jan 1, 2024 Accepting new patients
Delaware County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients

Locations

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

709 W Main St
#359
Manchester, IA 52057
Phone (563) 927-7457

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1658361600000",
    "number": "1316014046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581836",
            "telephone_number": "641-752-1585",
            "fax_number": "641-752-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581836",
            "telephone_number": "641-752-1585",
            "fax_number": "641-752-9665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "IA",
            "postal_code": "523422307",
            "country_code": "US",
            "telephone_number": "641-752-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.