Individual provider Active NPI

Carl Henry Gregory Jr.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1770354235
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
162990 Issued in CA
Practice address
4025 Camino del Rio S Ste 300
San Diego, CA 92108-4108
Phone
(619) 458-3944
NPI assigned
Jan 12, 2024
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 162990 CA Primary

Addresses

Primary practice location

4025 Camino del Rio S Ste 300
San Diego, CA 92108-4108

Mailing address

PO Box 181411
Coronado, CA 92178-1411
Phone (619) 987-9237

Other practice location 1

4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188 ext. 213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
162990CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indian Health Council CurrentSince Jan 29, 2024 Accepting new patients
Southern Indian Health Council CurrentSince Jan 29, 2024 Accepting new patients

Locations

4058 Willows Rd
Alpine, CA 91901
Phone (619) 445-1188

36350 Church Rd
Campo, CA 91906
Phone (619) 445-1188

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1770354235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181411",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921781411",
            "telephone_number": "619-987-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084108",
            "telephone_number": "619-458-3944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4058 Willows Rd",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "CA",
            "postal_code": "919011668",
            "country_code": "US",
            "telephone_number": "619-445-1188 x213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "CARL",
        "middle_name": "HENRY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "162990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.