MR. TIMOTHY MARVIN GREGORY LADC LPCC CAMS-II NPI 1518599323

NPI Information

NPI: 1518599323
Provider Name: MR. TIMOTHY MARVIN GREGORY, LADC, LPCC, CAMS-II
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
308 E 78TH ST
RICHFIELD, MN
ZIP 55423
Phone: (952) 956-3162
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MR. Timothy Marvin Gregory, LADC, LPCC, CAMS-II is a mental health counselor in Richfield, MN. MR. Timothy Marvin Gregory, LADC, LPCC, CAMS-II NPI is 1518599323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

308 E 78TH ST
RICHFIELD, MN
ZIP 55423-315
Phone: (952) 956-3162

The enumeration date for this NPI number is 2/10/2020 and was last updated on 2/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	304316	MINNESOTA	No
2	101YM0800X	Counselor	Mental Health	2269	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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