Jeffrey Jay Gregson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

373684-6004 Issued in UT

Practice address

722 Shepard LN
#105
Farmington, UT 84025-3845

Phone

(801) 451-2623

Fax

(801) 451-2623

NPI assigned

Jan 10, 2007

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimal Self LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fruit Heights, UT
  • NPI 1932833456
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952450678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 SHEPARD LN",
            "address_2": "#105",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253845",
            "telephone_number": "801-451-2623",
            "fax_number": "801-451-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 SHEPARD LN",
            "address_2": "#105",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253845",
            "telephone_number": "801-451-2623",
            "fax_number": "801-451-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGSON",
        "first_name": "JEFFREY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "373684-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Godfrey, RBT
• Bridget V Goode, LCSW
• Holly I Grayson, LCSW
• Gary A Green, DPM
• Trisha Greer
• Dana Griffin
• Rachael Groves
• Lyndee Gubler
• Zainab Hadi
• Melissa Robins Hafen

• Professional Counselor in Farmington, UT
• Providers in Farmington, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.