Active NPI
Natalie Gregory, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1417174665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-19703
- Practice address
- 1950 W Heatherbrae Dr Ste 4
Phoenix, AZ 85015-5110 - Phone
- (602) 792-0019
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-19703 | AZ | Primary |
Addresses
Primary practice location
1950 W Heatherbrae Dr Ste 4
Phoenix, AZ 85015-5110
Mailing address
1950 W Heatherbrae Dr Ste 4
Phoenix, AZ 85015-5110
Phone (602) 792-0019
Other practice location 1
5309 S 51st Dr
Laveen, AZ 85339-1910
Phone (602) 370-0189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10221 | Other | AZ | LICENSE NUMBER |
Other names 1
- Natalie Gregory
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 |
|---|---|---|---|
| LPC-19703 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Edge Mentoring Services | Past | Accepting new patients | |
| Desert Edge Recovery | Past | Accepting new patients |
Organizations & group practices 2
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 Clinic/Center
- Phoenix, AZ
- NPI 1245676394
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1306021126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1417174665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W HEATHERBRAE DR STE 4",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850155110",
"telephone_number": "602-792-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 W HEATHERBRAE DR STE 4",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850155110",
"telephone_number": "602-792-0019"
}
],
"practiceLocations": [
{
"address_1": "5309 S 51st Dr",
"address_purpose": "LOCATION",
"city": "Laveen",
"state": "AZ",
"postal_code": "853391910",
"country_code": "US",
"telephone_number": "602-370-0189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "NATALIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-19703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "10221",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "GREGORY",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.