Individual provider Active NPI

Gregory Suddreth

  • Mental Health Counselor
  • Hickory, NC
National Provider Identifier
1457781536
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10489 Issued in NC
Practice address
106 3Rd Ave NE
Hickory, NC 28601-5014
Phone
(828) 322-9130
Fax
(828) 322-7890
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3579 NC
Mental Health Counselor 101YM0800X 10489 NC Primary

Addresses

Primary practice location

106 3Rd Ave NE
Hickory, NC 28601-5014

Mailing address

1617 16TH St NE
Hickory, NC 28601-2815
Phone (828) 461-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240510002608 NC Practitioner - Mental Health Counselor 3779924501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Group, P.a.Group PAC ID 0345274767, 6 clinicians

Practice addresses (Care Compare)

106 3Rd Ave NE
Hickory, NC 28601-5014
Phone (828) 322-9130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3579NCMDAddiction (Substance Use Disorder) Counselor
10489NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Group, P.a. CurrentSince Feb 28, 2024 Accepting new patients

Locations

106 3rd Ave NE
Hickory, NC 28601
Phone (828) 322-8736

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1457781536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 16TH ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012815",
            "telephone_number": "828-461-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 3RD AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015014",
            "telephone_number": "828-322-9130",
            "fax_number": "828-322-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDRETH",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3579",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.