MRS. ELIZABETH BOSTROM GREGG (NPI# 1508931809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508931809 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH BOSTROM GREGG |
| Credential | LPCNL & NATL BD CCNL |
| Practice Address |
76 Fordway Drive Suite 2 Vandalia OH 45377 |
| Practice Telephone | 9378903139 |
| Practice Fax Number | 9378903111 |
| Mailing Telephone | 9378903139 |
| Mailing Fax Number | 9378903111 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C0002814 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1316402266 | Elizabeth Kathleen Gregg | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2019-02-05 |
| 1497241509 | Elizabeth S. Gregg | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-07-02 |
| Street Address |
76 FORDWAY DRIVE SUITE 2 |
| City | VANDALIA |
| State | OH |
| Zip Code | 45377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629039425 | Michael Alan Hall | Dentist | 76 Fordway Drive, Vandalia, OH 45377 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760006928 | Vandalia Butler City Schools | Local Education Agency (LEA) | 500 S. Dixie Dr., Vandalia, OH 45377 | 2020-06-03 |
| 1922592815 | Lori Jean Pearson | Nurse Practitioner | 1 E. National Road, Suite 100, Vandalia, OH 45377 | 2018-06-14 |
| 1649794884 | North Dayton Addiction & Recovery, LLC | Clinic/Center | 117 S Dixie Drive, Suite 4, Vandalia, OH 45377 | 2017-07-31 |
| 1821535956 | Allegiant Home Care, LLC | Home Health Aide | 237 S. Dixon Dr. Suite 7, Vandalia, OH 45377 | 2017-01-26 |
| 1689125007 | Melody Sheats | Licensed Practical Nurse | 260 N American Blvd, Vandalia, OH 45377 | 2016-10-20 |
| 1689120297 | Arch Home Care | Home Health | 2820 S. County Line Rd 25a, Troy, OH 45377 | 2016-09-01 |
| 1669782140 | Ohioans Home Healthcare, Inc. | Home Health | 407 Corporate Center Drive, Vandalia, OH 45377 | 2010-10-18 |
| 1073848750 | Jeralyn Renee Tharp | Counselor | 210 W National Rd Ste 2, Vandalia, OH 45377 | 2009-10-13 |
| 1689842031 | Melissa Walters | Licensed Practical Nurse | 908 Croydon Ct., Vandalia, OH 45377 | 2008-02-19 |
| 1881760411 | Merle Eugene Gibson | Family Medicine | 254 Bohanan Drive, Vandalia, OH 45377 | 2006-11-27 |
| Find all providers in zip 45377 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390377 | Rachel Austin | Counselor | 1121 N 6th St, Vandalia, IL 62471-1219 | 2020-06-09 |
| 1558828392 | Tracie Michelle Donnelly | Counselor | 1121 N 6th St, Vandalia, IL 62471-1219 | 2019-02-28 |
| 1154765204 | Kaitlin Marie Cantrell | Counselor | 210 W National Rd, Vandalia, OH 45377-1963 | 2013-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868698 | Jana Elaine Kizito | Counselor | 202 Gladys Ave, Mingo Jct, OH 43938-1028 | 2020-10-12 |
| 1669079596 | Jonathan David Kopech | Counselor | 2635 Jessup Rd, Cincinnati, OH 45239-6276 | 2020-10-05 |
| 1427665900 | Center for Emotional Health, LLC. | Counselor | 330 Portland St, Celina, OH 45822-2038 | 2020-09-28 |
| 1932715471 | Raquel Powell-lewis | Counselor | 1435 Vine St Apt 2, Cincinnati, OH 45202-7094 | 2020-09-21 |
| 1043826027 | Center of Healing, LLC | Counselor | 292 Greensfield Ln, Copley, OH 44321-3098 | 2020-09-16 |
| 1043825573 | David Fluellen | Counselor | 1743 E Main St, Columbus, OH 43205-2265 | 2020-09-11 |
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1720692353 | Lindsay Nichole Hall | Counselor | 5136 Birchwood Farms Dr, Mason, OH 45040-3621 | 2020-09-01 |
| 1053923177 | Myla Perry | Counselor | 6549 Coachlight Way, West Chester, OH 45069-2050 | 2020-08-19 |
| 1144839929 | Hollowell Counseling LLC | Counselor | 1619 Onondaga Ave, Lakewood, OH 44107-4310 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
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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.