Gregory Koguc, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00309400 Issued in NJ

Practice address

1400 N Albany Ave
Atlantic City Teen Center at Atlantic City High School
Atlantic City, NJ 08401-1208

Phone

(609) 645-7601

NPI assigned

Dec 14, 2006

Sex

Male

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

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Empowerment Associates LLCGroup PAC ID 4688049919, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Empowerment Associates, LLC

  • Mental Health Counselor
  • Galloway, NJ
  • NPI 1437365830
  Medicare reassignment Care Compare group NPD
• Family Empowerment Recovery Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Galloway, NJ
  • NPI 1619489366

  Mental Health

  NPD (past) Authorized official
• Atlanticare Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Hammonton, NJ
  • NPI 1093873556

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669534996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082326086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N ALBANY AVE",
            "address_2": "ATLANTIC CITY TEEN CENTER AT ATLANTIC CITY HIGH SCHOOL",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084011208",
            "telephone_number": "609-645-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUC",
        "first_name": "GREGORY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00309400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Kimbrough
• Rebecca King, LPC
• Rita King
• Taylor Kleeschulte, LCSW
• Khadijatul Kobra
• Peter Stephen Konchak, D.O.
• Morgen-Nicolle Kottler
• Panagiotis L Koutsoupias, DO
• Kayla Kruk, PA-C
• Rakesh Kundalia

• Mental Health Counselor in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.