Active NPI
Gregory L Deneal, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1508200767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2006017537
- Practice address
- 8050 Watson Rd
Suite 335
Saint Louis, MO 63119-5329 - Phone
- (636) 447-0100
- NPI assigned
- Apr 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2006017537 | MO | Primary |
Addresses
Primary practice location
8050 Watson Rd
Suite 335
Saint Louis, MO 63119-5329
Mailing address
264 Maple Dr
Fenton, MO 63026-3224
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 |
|---|---|---|---|
| 2006017537 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487462400000",
"number": "1508200767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 MAPLE DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630263224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 WATSON RD",
"address_2": "SUITE 335",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631195329",
"telephone_number": "636-447-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENEAL",
"first_name": "GREGORY",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2017-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2006017537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.