MR. GREGORY BRUCE JACK LPC
NPI 1164517512
Counselor - Professional in Plainfield, CT
About Mr. Gregory Bruce Jack Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GREGORY BRUCE JACK LPC (NPI 1164517512) is an individual professional provider in Plainfield, Connecticut, licensed in Connecticut (000758) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Gregory Bruce Jack Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jack's NPI number?
The NPI number for Gregory Jack is 1164517512. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Gregory Jack located?
Gregory Jack practices at 50 Academy Hill Road, Plainfield, CT 06374. The listed phone number is (860) 564-3015.
What is Gregory Jack's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Gregory Jack enrolled in Medicare?
Yes. Gregory Jack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Gregory Jack accept?
Health plans from Providence Health Plan list Gregory Jack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gregory Jack was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Mr. Gregory Bruce Jack, LPC · NPI 1164517512
Professional provider in Plainfield, Connecticut. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1164517512 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 000758 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 50 ACADEMY HILL ROAD, Plainfield, CT 06374
- **Phone:** (860) 564-3015 · **Fax:** (860) 564-3025
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1977
## Record status
- **NPPES last updated:** November 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164517512) · Data from the CMS NPPES public registry.