Mr. Gregory Bruce Jack
LPC
Counselor - Professional
About Mr. Gregory Bruce Jack
Mr. Gregory Bruce Jack, LPC, is a male healthcare professional specializing in Counselor - Professional with a focus on Professional, registered under National Provider Identifier (NPI) number 1164517512.
Mr. Gregory Bruce Jack received his medical education at OTHER, graduating in 1977. Their primary practice is located at 50 ACADEMY HILL ROAD, Plainfield, Connecticut 06374. Patients can reach the office at (860) 564-3015.
Mr. Gregory Bruce Jack is affiliated with 1 hospital in the area. Mr. Gregory Bruce Jack is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Mr. Gregory Bruce Jack has been NPI-registered since 2006.
Key Metrics
Practice Locations
1
Affiliated Hospitals
1
Doctor Details
Identity & Credentials
- NPI Number
- 1164517512
- Entity Type
- Individual
- First Name
- Gregory
- Last Name
- Jack
- Credential
- LPC
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 1977
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 50 ACADEMY HILL ROAD
- City
- Plainfield
- State
- Connecticut
- ZIP
- 06374
- Country
- United States
- Phone
- (860) 564-3015
- Fax
- (860) 564-3025
Specialty & Taxonomy
- Primary Specialty
- Counselor - Professional
- Classification
- Counselor
- Specialization
- Professional
- Taxonomy Code
- 101YP2500X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 50 ACADEMY HILL ROAD, P.O. BOX 201
- City
- PLAINFIELD
- State
- CT
- ZIP
- 06374
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Mr. Gregory Bruce Jack's NPI number?
What does Mr. Gregory Bruce Jack specialize in?
Where is Mr. Gregory Bruce Jack located?
Does Mr. Gregory Bruce Jack accept Medicare?
Does Mr. Gregory Bruce Jack offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Gregory Bruce Jack is 1164517512.