Gregory Bruce Jack, LPC
NPI 1164517512ActiveIndividual· Counselor, Professional· Plainfield, CT
Counselor, Professional (LPC) with Day Kimball Healthcare, Inc., practicing in Plainfield, Connecticut. Enrolled in Medicare as practitioner - mental health counselor. Lists Day Kimball Hospital as a hospital affiliation.
Overview
| NPI | 1164517512 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Nov 14, 2024 |
| Certified by provider | Nov 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 000758 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CT) |
|---|
Education and affiliations
| Graduation year | 1977 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Day Kimball Healthcare, Inc.Putnam, CT · 26 clinicians
Hospital affiliation
- Day Kimball HospitalPutnam, CT
Other professional counselors in Plainfield
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- 1043616394