Jennifer L Gregan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1083064695 Issued in WV

Practice address

718 Bigley Avenue
Charleston, WV 25302

Phone

(304) 746-2918

Fax

(304) 746-2919

NPI assigned

Oct 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Home Base Inc.

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1083064695

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1780136556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20033",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253621033",
            "telephone_number": "304-746-2918",
            "fax_number": "304-746-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 BIGLEY AVENUE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25302",
            "telephone_number": "304-746-2918",
            "fax_number": "304-746-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1083064695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9435000000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9435000001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Michele Greene, APRN, FNP
• Timothy Greene
• Dontryse Greer
• Jeffrey Lee Greer, LGSW
• Jennifer Lee Greer, RPH
• Cheryl Gregg
• Haleigh Gregg
• Gregory S Moore OD PC
• Brianna Gregory
• Olivia Gregory

• Mental Health Counselor in Charleston, WV
• Providers in Charleston, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.