Russell Gregory, MA,LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

95558 Issued in TX

Practice address

1785 State Highway 26 Ste 200
Grapevine, TX 76051-2217

Phone

(682) 231-3012

NPI assigned

Aug 22, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1861370488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4769 VAN ZANDT DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446180",
            "telephone_number": "817-903-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 STATE HIGHWAY 26 STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512217",
            "telephone_number": "682-231-3012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Ray White Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762449105",
            "country_code": "US",
            "telephone_number": "682-231-3012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "MA,LPC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.