Active NPI
Eric William Gregory, M.A.
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1982867933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009014951
- Practice address
- 3637 Utah PL
Saint Louis, MO 63116-4828 - Phone
- (314) 330-9748
- NPI assigned
- Jul 9, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 2009014951 | MO | Primary |
Addresses
Primary practice location
3637 Utah PL
Saint Louis, MO 63116-4828
Mailing address
1430 Olive St
Saint Louis, MO 63103-2303
Phone (314) 206-3726
Other practice location 1
3109 S Grand Blvd
Saint Louis, MO 63118-1039
Phone (314) 669-5544
Other practice location 2
1430 Olive St
Saint Louis, MO 63103-2303
Phone (314) 206-3726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009014951 | Other | MO | MO DIVISION OF PROFESSIONAL REGISTRATION |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009014951 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1982867933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 UTAH PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631164828",
"telephone_number": "314-330-9748"
}
],
"practiceLocations": [
{
"address_1": "3109 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631181039",
"country_code": "US",
"telephone_number": "314-669-5544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 Olive St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631032303",
"country_code": "US",
"telephone_number": "314-206-3726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY",
"first_name": "ERIC",
"middle_name": "WILLIAM",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009014951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO DIVISION OF PROFESSIONAL REGISTRATION",
"identifier": "2009014951",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.