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MR. GREGORY MASON MACDONALD
NPI 1104077296
Counselor - Addiction (Substance Use Disorder) in Creve Coeur, MO

Active since October 07, 2008
12647 OLIVE BLVD, SPECTRUM HEALTHCARE RESOURCES, CREVE COEUR, MO 63141(800) 325-3982(877) 685-9866 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gregory Mason Macdonald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY MASON MACDONALD (NPI 1104077296) is an individual addiction (substance use disorder) provider in Creve Coeur, Missouri, licensed in Hawaii (101YA0400X) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1104077296
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GREGORY MASON MACDONALD
Location Address12647 OLIVE BLVD, SPECTRUM HEALTHCARE RESOURCESCreve Coeur, MO 63141
Mailing Address12647 Olive Blvd, Spectrum Healthcare ResourcesCreve Coeur, MO 63141 · (800) 325-3982 · Fax (877) 685-9866
Phone(800) 325-3982
Fax(877) 685-9866
Sole ProprietorNo
Enumeration DateOctober 7, 2008
✔ NPI 1104077296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in HI · 101YA0400X
12647 OLIVE BLVD, Creve Coeur, MO 63141
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RUTH SUSAN ROSENSTEIN LCSW
Behavior Analyst
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (180) 032-5398
SHARON DUCKWORTH
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (520) 682-3182
MS. CAROL JO TALIAFERRO LCSW
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4100
DR. WILLIAM CONNOR PH.D.
Psychologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (877) 984-8285
MR. ROBERT FRED VANDEBORNE
Radiologic Technologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MS. DENISE TAYLOR DARDEN NNP
Nurse Practitioner (Neonatal)
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MRS. AUDREY MARY HYLAND CRNA
Registered Nurse
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4247
MARK NEUENSCHWANDER
Family Medicine
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Macdonald's NPI number?

The NPI number for Gregory Macdonald is 1104077296. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Gregory Macdonald located?

Gregory Macdonald practices at 12647 Olive Blvd Spectrum Healthcare Resources, Creve Coeur, MO 63141. The listed phone number is (800) 325-3982.

What is Gregory Macdonald's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gregory Macdonald was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.