JENNIFER BROOKE GREGORY-LYLES LCMHC NPI 1164756045

NPI Information

NPI: 1164756045
Provider Name: JENNIFER BROOKE GREGORY-LYLES, LCMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1925 N BRIDGE ST STE 101
ELKIN, NC
ZIP 28621
Phone: (368) 357-3373
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Jennifer Brooke Gregory-lyles, LCMHC is a mental health counselor in Elkin, NC. Jennifer Brooke Gregory-lyles, LCMHC NPI is 1164756045. 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:

1925 N BRIDGE ST STE 101
ELKIN, NC
ZIP 28621-105
Phone: (368) 357-3373
Fax: (336) 835-7301

The NPI 1164756045 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 9/25/2009 and was last updated on 2/24/2023.

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	101YM0800X	Counselor	Mental Health	7499	NORTH CAROLINA	Yes
2	101YP2500X	Counselor	Professional	7499	NORTH CAROLINA	No

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	1164756045	MEDICAID	NORTH CAROLINA

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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