Active NPI
Deno Larry Gregory, LAC, NCACI, SAP
- Addiction (Substance Use Disorder) Counselor
- Overland Park, KS
National Provider Identifier
1821626987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 901
- Practice address
- 8600 W 95TH St Ste 104-7
Overland Park, KS 66212-3240 - Phone
- (913) 514-4478
- NPI assigned
- Apr 1, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 901 | KS | Primary |
Addresses
Primary practice location
8600 W 95TH St Ste 104-7
Overland Park, KS 66212-3240
Mailing address
8600 W 95TH St Ste 104-7
Overland Park, KS 66212-3240
Phone (913) 514-4478
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
| License | State | Type | Specialty |
|---|---|---|---|
| 901 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1821626987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 W 95TH ST STE 104-7",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123240",
"telephone_number": "913-514-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 W 95TH ST STE 104-7",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123240",
"telephone_number": "913-514-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "DENO",
"middle_name": "LARRY",
"credential": "LAC, NCACI, SAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.