Individual provider Active NPI

Gregory Medley

  • Professional Counselor
  • Harrisonburg, VA
National Provider Identifier
1972366151
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012979 Issued in VA
Practice address
1322 Hillside Ave # 119
Harrisonburg, VA 22801-2994
Phone
(540) 282-7668
NPI assigned
Jan 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 0701012979 VA Primary

Addresses

Primary practice location

1322 Hillside Ave # 119
Harrisonburg, VA 22801-2994

Mailing address

1322 Hillside Ave # 119
Harrisonburg, VA 22801-2994
Phone (540) 282-7668

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012979VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Talk Therapy and Consulting Professional CurrentSince Feb 11, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Jul 24, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1322 Hillside Ave
Harrisonburg, VA 22801
Phone (540) 282-7668

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1972366151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 HILLSIDE AVE # 119",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012994",
            "telephone_number": "540-282-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 HILLSIDE AVE # 119",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228012994",
            "telephone_number": "540-282-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.