Mr. Gregory Bruce Jack, LPC
Mr. Gregory Bruce Jack is a Professional Counselor provider (Counselor) practicing in Plainfield, CT, registered in the NPPES registry with NPI 1164517512 since 2006. The credential LPC stands for Licensed Professional Counselor.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1164517512 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Gregory Bruce Jack |
| Credential | LPC |
| Sex | Male |
| Practice address | Plainfield, CT, 06374 |
| Phone | 8605643015 |
| Fax | 8605643025 |
| Enumeration date | 2006-10-03 |
| Last updated in NPPES | 2024-11-14 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Primary | 000758 | CT |
LPC — Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential
Copy-ready billing details
Provider: Gregory Jack, LPC NPI: 1164517512 Taxonomy: 101YP2500X (Professional Counselor) Address: Plainfield, CT, 06374
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972657351 | Amy Chace | Individual | Clinical Social Worker | Plainfield, CT |
Verify this record
Cross-check NPI 1164517512 against the authoritative CMS record: view Mr. Gregory Bruce Jack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-14.