LAVONNA GREGORY
NPI 1255885497
Counselor - Mental Health in Bradenton, FL
About Lavonna Gregory NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAVONNA GREGORY (NPI 1255885497) is an individual mental health provider in Bradenton, Florida, licensed in Florida (IMH 13427) and active in the NPI registry since August 2016. She has opted out of Medicare through December 3, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lavonna Gregory has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 3, 2024 through December 3, 2026.
Other Providers at the Same Location NPPES 3
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 Lavonna Gregory's NPI number?
The NPI number for Lavonna Gregory is 1255885497. It was assigned to this individual provider in the NPPES registry on August 4, 2016.
Where is Lavonna Gregory located?
Lavonna Gregory practices at 9030 58th Dr E Ste 103, Bradenton, FL 34202. The listed phone number is (941) 567-6207.
What is Lavonna Gregory's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lavonna Gregory enrolled in Medicare?
No. Lavonna Gregory has opted out of Medicare through December 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Lavonna Gregory was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Lavonna Gregory · NPI 1255885497
Mental Health provider in Bradenton, Florida. Individual provider, active in the CMS NPPES registry since August 4, 2016.
## Identity
- **NPI:** 1255885497 (Entity type: Individual)
- **Enumerated:** August 4, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** IMH 13427 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9030 58TH DR E STE 103, Bradenton, FL 34202-6108
- **Phone:** (941) 567-6207
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 3, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** September 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1255885497) · Data from the CMS NPPES public registry.