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Jennifer Brooke Gregory-Lyles, LCMHC

Mental Health Counselor in Elkin, NC · enumerated 2009 · practices at Revival Pain Management Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164756045

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Registry record

Entity type Individual (Type 1)
Name Jennifer Brooke Gregory-Lyles
Credential LCMHC
Sex Female
Practice address 1925 N Bridge St Ste 101, Elkin, NC, 28621
Fax (336) 835-7301
Enumeration date Sep 25, 2009
Last updated in NPPES Feb 24, 2023

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 7499 (NC) Primary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 7499 (NC) Secondary

Other identifiers

Identifier Type State Issuer
1164756045 Medicaid NC -

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.

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Frequently asked questions

Where does Jennifer Gregory-Lyles practice?
The practice location on file with NPPES is in Elkin, NC. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jennifer Gregory-Lyles?
The National Provider Identifier (NPI) for Jennifer Gregory-Lyles is 1164756045, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-24.