MR. TIMOTHY MARVIN GREGORY (NPI# 1518599323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518599323 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MARVIN GREGORY |
| Credential | LADC, LPCC, CAMS-II |
| Practice Address |
308 E 78th St Richfield MN 55423-4315 |
| Practice Telephone | 9529563162 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304316 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2269 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821396854 | Timothy M Gregory | Chiropractor | 1575 Old Alabama Rd Ste 105, Roswell, GA 30076-2133 | 2011-02-28 |
| 1083623177 | Timothy Richard Gregory | Social Worker | 56 Front St, Port Jervis, NY 12771-2415 | 2006-08-07 |
| 1073556452 | Timothy James Durkan Gregory | Emergency Medicine | 9302 Medical Plaza Dr Ste A, Charleston, SC 29406-9142 | 2006-06-14 |
| 1932766359 | Timothy Gregory | Case Manager/Care Coordinator | 525 Metro Pl N, Dublin, OH 43017-5342 | 2019-05-21 |
| 1518405620 | Timothy Gregory | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-02-09 |
| Street Address |
308 E 78TH ST |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194852590 | Progress Valley, Inc. | Substance Abuse Rehabilitation Facility | 308 E 78th St, Richfield, MN 55423-4315 | 2007-02-27 |
| 1518326800 | Progress Valley, Inc. | Substance Abuse Rehabilitation Facility | 308 E 78th St, Richfield, MN 55423-4315 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144885146 | Liberty E Shipp | Counselor | 255 W Main Street, Richfield, UT 84701-2699 | 2019-05-06 |
| 1467912733 | Lisa Taylor | Counselor | 5 W Constitution Way Unit 1134, Richfield, UT 84701-1887 | 2019-03-22 |
| 1598250011 | Karen Maureen Wolf | Counselor | 5300 Hawkins Rd, Richfield, OH 44286-9266 | 2018-06-27 |
| 1356720338 | Sara Watne | Counselor | 6345 Sheridan Ave S, Richfield, MN 55423-1009 | 2015-05-24 |
| 1366865578 | Brenda Hightshoe | Counselor | 6832 4th Ave S, Richfield, MN 55423-2424 | 2014-01-23 |
| 1780737031 | Carol Ann Parowski | Counselor | 361 Eaglebrook Ln, Richfield, PA 17086-9162 | 2007-01-19 |
| 1174670780 | Christina M. Salem | Counselor | 3017 Farnham Rd, Richfield, OH 44286-9687 | 2007-01-04 |
| 1124640958 | Marina Himmer | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2020-05-14 |
| 1932748928 | Paula Moorman | Counselor | 3928 Brecksville Rd, Richfield, OH 44286-9627 | 2019-12-23 |
| 1093356297 | Jenna Marandon Soderbeck | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2019-09-30 |
| Find all providers in RICHFIELD | ||||
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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.