GREGORY HEPBURN (NPI# 1427234699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427234699 |
| Entity Type | Individual |
| Full Name | GREGORY HEPBURN |
| Credential | MA |
| Practice Address |
100 N Main St Elmira NY 14901-2901 |
| Practice Telephone | 6077374040 |
| Practice Fax Number | 6077340774 |
| Mailing Telephone | 6077374040 |
| Mailing Fax Number | 6077340774 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16911 | NY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001753-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CAQH | 12576044 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912193897 | Gregory Nathaniel Hepburn Jr. | Counselor | 7176 N 51st St, Omaha, NE 68152-2451 | 2007-09-24 |
| Street Address |
100 N MAIN ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396300539 | Chloe Erway | Dental Hygienist | 100 N Main St, Elmira, NY 14901-2901 | 2019-05-02 |
| 1629398839 | Marianne S. Passmore | Psychologist | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2010-06-10 |
| 1427215284 | Stacey Jennifer Wade-maser | Social Worker | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2008-05-20 |
| 1699944173 | Thomas C Cosad | Social Worker | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2008-02-28 |
| 1548479843 | Milissa Cerio | Social Worker | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2007-05-22 |
| 1164631453 | Sherri Murchison-green | Social Worker | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2007-05-22 |
| 1689717019 | Mary Kathryn Bellizia | Social Worker | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2007-02-15 |
| 1043353378 | Frances Barret | Social Worker | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2007-02-15 |
| 1770623704 | Joseph Cherkis | Pharmacist | 100 N Main St, Elmira, NY 14901-2901 | 2007-02-07 |
| 1730228636 | Milissa B Cerio | Social Worker | 100 N Main St, Suite 214, Elmira, NY 14901-2901 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1720491624 | Chad Cummings | Counselor | 100 N Main St Ste 214, Elmira, NY 14901-2901 | 2014-06-09 |
| 1083890552 | Isa Felicitas Jennings | Counselor | 24717 Oak Lane, Elmira, OR 97437 | 2008-01-15 |
| 1811596158 | Cynthia Lynn Toth | Counselor | 1149 Sullivan St Ste B, Elmira, NY 14901-1670 | 2020-10-19 |
| 1427665884 | Nia Lauren Been | Counselor | 1019 E Water St, Elmira, NY 14901-3332 | 2020-09-29 |
| 1194334706 | Krista Coats | Counselor | 311 W Water St, Elmira, NY 14901-2914 | 2020-07-29 |
| 1780222869 | Etosha Blank | Counselor | 1149 Sullivan St Ste B, Elmira, NY 14901-1670 | 2019-12-19 |
| 1700448354 | Brian Quaife | Counselor | 5416 Holdener Road, Elmira, CA 95625-9562 | 2019-07-03 |
| 1427516210 | Dana Booth | Counselor | 310 Pennsylvania Ave, Elmira, NY 14904-1458 | 2019-03-11 |
| 1336647890 | Shannon Elizabeth Bashore | Counselor | 1149 Sullivan St, Elmira, NY 14901-1670 | 2018-01-30 |
| Find all providers in ELMIRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.