Healthcare Provider Details

I. General information

NPI: 1801732938
Provider Name (Legal Business Name): JULIE ANN GREGERSON MSED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 N MAIN ST
CROWN POINT IN
46307-2719
US

IV. Provider business mailing address

1308 N MAIN ST
CROWN POINT IN
46307-2719
US

V. Phone/Fax

Practice location:
  • Phone: 219-663-6353
  • Fax: 219-663-6155
Mailing address:
  • Phone: 219-776-3230
  • Fax: 219-663-6353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: