Individual provider Active NPI

Maria Euterpe Gregory, LPC, ART-BC,CGP

  • Mental Health Counselor
  • Lansdowne, PA
National Provider Identifier
1790826964
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC001055 Issued in PA
Practice address
19 W Stewart Ave
Lansdowne, PA 19050-1905
Phone
(610) 299-1606
Fax
(484) 461-8787
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC001055 PA Primary

Addresses

Primary practice location

19 W Stewart Ave
Lansdowne, PA 19050-1905

Mailing address

19 W Stewart Ave
Lansdowne, PA 19050-1905
Phone (610) 299-1606

Other identifiers 1

IdentifierTypeStateIssuer
101441254MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
PC001055PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1790826964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W STEWART AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501905",
            "telephone_number": "610-299-1606",
            "fax_number": "484-461-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W STEWART AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501905",
            "telephone_number": "610-299-1606",
            "fax_number": "484-461-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "MARIA",
        "middle_name": "EUTERPE",
        "name_prefix": "Ms.",
        "credential": "LPC, ART-BC,CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC001055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101441254",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.