| Mr Jeffrey Jay Gregson, LPC | |
|
722 Shepard Ln, #105, Farmington, UT 84025-3845 | |
| (801) 451-2623 | |
| (801) 451-2623 |
| Full Name | Mr Jeffrey Jay Gregson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 722 Shepard Ln, Farmington, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952450678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 373684-6004 (Utah) | Primary |
| Entity Name | Optimal Self Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932833456 PECOS PAC ID: 2264974088 Enrollment ID: O20240608000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Jay Gregson, LPC 722 Shepard Ln, #105, Farmington, UT 84025-3845 Ph: (801) 451-2623 | Mr Jeffrey Jay Gregson, LPC 722 Shepard Ln, #105, Farmington, UT 84025-3845 Ph: (801) 451-2623 |
Mrs. Mikelle Lynne Timmons, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 E 500 N, Farmington, UT 84025 Phone: 385-367-4330 | |
Mr. Dwight David Hurst, CPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475 | |
Lisa Welling, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 961 W Willow Garden Paseo, Farmington, UT 84025 Phone: 707-280-4448 | |
Brianna M Holmes, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 N East Promontory Ste 270, Farmington, UT 84025 Phone: 801-382-8238 | |
Lauren Kofford Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Spencer Way, Farmington, UT 84025 Phone: 801-360-0789 | |
Gwendolynn Skeen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 N East Promontory Ste 270, Farmington, UT 84025 Phone: 801-382-8238 Fax: 866-560-4702 | |
Clifford S Woodall, BCBA, SSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N East Promontory Ste 200, Farmington, UT 84025 Phone: 385-245-2151 Fax: 801-255-5131 |