STEPHANIE KOSUT GREGORY LPC-S NPI 1083932115

NPI Information

NPI: 1083932115
Provider Name: STEPHANIE KOSUT GREGORY, LPC-S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
620 LONGMIRE RD
CONROE, TX
ZIP 77304
Phone: (936) 443-9629
Get Directions

Stephanie Kosut Gregory, LPC-S is a professional counselor in Conroe, TX. Stephanie Kosut Gregory, LPC-S NPI is 1083932115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 LONGMIRE RD
CONROE, TX
ZIP 77304-819
Phone: (936) 443-9629
Fax: (855) 443-9630

The NPI 1083932115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 11/25/2023.

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)	65424	TEXAS	No
2	101Y00000X	Counselor		65424	TEXAS	No
3	101YM0800X	Counselor	Mental Health	65424	TEXAS	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
5	101YP2500X	Counselor	Professional	65424	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2200156-03	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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