Gregory Jan McBride

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401002079 Issued in MI

Practice address

1455 S Lapeer Rd
175 North
Lake Orion, MI 48360-1467

Phone

(248) 393-5555

NPI assigned

May 16, 2016

Last updated

May 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MI

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Counseling Services LLCGroup PAC ID 6800247925, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Counseling Services, LLC

  • Multi-Specialty Clinic/Center
  • Fenton, MI
  • NPI 1669087854
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1669829057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 AUTUMN VALLEY DR",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628313",
            "telephone_number": "586-764-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S LAPEER RD",
            "address_2": "175 NORTH",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601467",
            "telephone_number": "248-393-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "GREGORY",
        "middle_name": "JAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Martin, MT
• Olha Marusyk
• Joseph Anthony Mastromatteo, D.D.S.
• Priya Ann Mathews, DDS
• Karma Maxwell, NP
• Amy McCarthy, M.D.
• McCartney Family Chiropractic and Wellness PC
• Jessica McCollum
• Jacqueline J McCormick
• Erin McGraw

• Professional Counselor in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.