GREGORY JAN MCBRIDE – Professional Counselor, NPI 1669829057

GREGORY JAN MCBRIDE is a healthcare provider. based in Ortonville, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401002079 (MI). The NPI Number for GREGORY JAN MCBRIDE is 1669829057

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY JAN MCBRIDE
NPI
1669829057
Phone
(586) 764-0812
Address
730 AUTUMN VALLEY DR
Enumeration Date
16 May 2016
Last Update Date
16 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107770139
Graduation Year
1991 (35 years ago)
PAC ID
0749632842
Group Practice PAC ID
6800247925
Professional Enrollment ID
I20240113000187
Address ID
MI484301186FE14165RDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for GREGORY JAN MCBRIDE

  • 730 AUTUMN VALLEY DR

    ORTONVILLE, MI 484628313

    Phone: (586) 764-0812

    Type: Mailing

  • Beaumont Medical Center, Lake Orion, 1455, South Lapeer Road, Lake Orion, Oakland County, Michigan, 48360, United States

    175 NORTH

    LAKE ORION, MI 483601467

    Phone: (248) 393-5555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240113000187IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48462)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800247925View full group profile
NameSpecialtyState
Mental Health CounselorMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for GREGORY JAN MCBRIDE?
GREGORY JAN MCBRIDE — NPI 1669829057 — is the standard way to identify this listing.
Does CMS list GREGORY JAN MCBRIDE as active?
Yes — GREGORY JAN MCBRIDE is active in the NPI listing used on this page.
What taxonomy line describes GREGORY JAN MCBRIDE?
For research purposes, treat GREGORY JAN MCBRIDE as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Does GREGORY JAN MCBRIDE list a practice location?
Patients near Ortonville, Michigan may find GREGORY JAN MCBRIDE in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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