Heidi C Gregory, CADACII
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Romney, IN
NPI 1316623580 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1316623580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- C-51219 (IN)
- Practice address
- 105 State Road 28 E
Romney, IN 47981-9604 - Phone
- (765) 418-5306
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-51219 | IN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-51219 | IN | Yes |
Addresses
Primary practice location
105 State Road 28 E
Romney, IN 47981-9604
Mailing address
105 State Road 28 E
Romney, IN 47981-9604
Phone (765) 418-5306
Other providers in Romney, IN
All providers in Romney, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.