Individual provider Active NPI

Lynnette Greak, M.ED., L.P.C.

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1720184484
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15242 Issued in TX
Practice address
3223 S Loop 289
Suite 240-U
Lubbock, TX 79423-1337
Phone
(806) 794-4261
Fax
(800) 462-4189
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15242 TX Primary

Addresses

Primary practice location

3223 S Loop 289
Suite 240-U
Lubbock, TX 79423-1337

Mailing address

3223 S Loop 289
Suite 240-U
Lubbock, TX 79423-1337
Phone (806) 794-4261

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
15242TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720184484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 S LOOP 289",
            "address_2": "SUITE 240-U",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231337",
            "telephone_number": "806-794-4261",
            "fax_number": "800-462-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 S LOOP 289",
            "address_2": "SUITE 240-U",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231337",
            "telephone_number": "806-794-4261",
            "fax_number": "800-462-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAK",
        "first_name": "LYNNETTE",
        "name_prefix": "Ms.",
        "credential": "M.ED., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.