Active NPI
Ellen Gregory
- Marriage & Family Therapist
- Old Bridge, NJ
National Provider Identifier
1720612930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 2A Jocama Blvd
Old Bridge, NJ 08857-3513 - Phone
- (732) 266-8994
- NPI assigned
- Feb 26, 2020
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2A Jocama Blvd
Old Bridge, NJ 08857-3513
Mailing address
2A Jocama Blvd
Old Bridge, NJ 08857-3513
Phone (732) 266-8994
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling Center, LLC | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Old Bridge, NJ
- NPI 1982590584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1720612930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2A JOCAMA BLVD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573513",
"telephone_number": "732-266-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2A JOCAMA BLVD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573513",
"telephone_number": "732-266-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.