Active NPI
Trudy Gregson, LPC
- Professional Counselor
- Wyndmoor, PA
National Provider Identifier
1679126957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011236
- Practice address
- 8200 Flourtown Avenue
Suite 1C
Wyndmoor, PA 19038 - Phone
- (267) 652-1732
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | PC011236 | PA | Primary |
Addresses
Primary practice location
8200 Flourtown Avenue
Suite 1C
Wyndmoor, PA 19038
Mailing address
8200 Flourtown Ave
Suite 1C
Wyndmoor, PA 19038-7969
Phone (267) 652-1732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 22, 2025 through Jan 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC011236 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1679126957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 FLOURTOWN AVE",
"address_2": "SUITE 1C",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "190387969",
"telephone_number": "267-652-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 FLOURTOWN AVENUE",
"address_2": "SUITE 1C",
"city": "WYNDMOOR",
"state": "PA",
"postal_code": "19038",
"telephone_number": "267-652-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGSON",
"first_name": "TRUDY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2022-09-05",
"certification_date": "2022-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyndmoor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.