Active NPI
William Henry Gregory Jr., PH.D.
- Counselor
- Woodstock, MD
National Provider Identifier
1497070452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC5741
- Practice address
- 9985 Village Green Drive
Woodstock, MD 21163 - Phone
- (410) 521-5818
- Fax
- (443) 272-7560
- NPI assigned
- Apr 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC5741 | MD | Primary |
| Professional Counselor | 101YP2500X | 391 | DC |
Addresses
Primary practice location
9985 Village Green Drive
Woodstock, MD 21163
Mailing address
9985 Village Green Drive
Woodstock, MD 21163
Phone (410) 521-5818
Other names 1
- Mr. Wiiliam Henry Gregory Jr.
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5741 | MD | MD | Counselor |
| 391 | DC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafiki Consortium, LLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Woodstock, MD
- NPI 1104144468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1497070452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9985 VILLAGE GREEN DRIVE",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "21163",
"telephone_number": "410-521-5818",
"fax_number": "443-272-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9985 VILLAGE GREEN DRIVE",
"city": "WOODSTOCK",
"state": "MD",
"postal_code": "21163",
"telephone_number": "410-521-5818",
"fax_number": "443-272-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-02",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC5741",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WIILIAM",
"last_name": "GREGORY",
"middle_name": "HENRY",
"prefix": "MR.",
"suffix": "JR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodstock, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.