Elizabeth Tyler Gregory

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

84478 Issued in TX

Practice address

117 E Royal Street
Bryan, TX 77801

Phone

(979) 777-1683

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brazos Valley Mental Health and Wellness, LLC

  • Clinical Psychologist
  • Brenham, TX
  • NPI 1063874683
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1457055139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 COPPERFIELD DR APT 231",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025876",
            "telephone_number": "409-429-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E ROYAL STREET",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77801",
            "telephone_number": "979-777-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "ELIZABETH",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaneise Green
• Greene Eyes PA
• Deena Greer, M.D.
• Sarah Greer, FNP-C
• Greg Mason, Ma, LPC, PLLC
• Gretchen S. Noble, PSYD, PLLC
• Danna Van Norman Griffith
• Elizabeth Brianna Griffith, COTA
• Monika L. Griffith
• Sonya M Grigsby, ACNP

• Mental Health Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.