Individual provider Active NPI

Marc Alan Gregg, LPC

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1902933708
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19721 Issued in TX
Practice address
3611 S Soncy Rd Ste 4a
Amarillo, TX 79119-6408
Phone
(806) 674-5026
Fax
(806) 355-6842
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 19721 TX Primary

Addresses

Primary practice location

3611 S Soncy Rd Ste 4a
Amarillo, TX 79119-6408

Mailing address

3611 S Soncy Rd Ste 4a
Amarillo, TX 79119-6408
Phone (806) 674-5026

Other identifiers 1

IdentifierTypeStateIssuer
176481301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313001640 TX Practitioner - Mental Health Counselor 3375991367 Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19721TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1902933708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 S SONCY RD STE 4A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196408",
            "telephone_number": "806-674-5026",
            "fax_number": "806-355-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S SONCY RD STE 4A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196408",
            "telephone_number": "806-674-5026",
            "fax_number": "806-355-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176481301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.