Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gregory Bruce Jack, LPC

Individual provider Professional Counselor · NPI 1164517512

Mr. Gregory Bruce Jack, LPC is a Mental Health Counselor in Plainfield, Connecticut. Qualified in 1977, 49 years ago. Practices with Day Kimball Healthcare, Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
49
Licensed in
CT
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

50 Academy Hill Rd
Plainfield, CT 06374
Phone: (860) 564-3015
Fax: (860) 564-3025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 000758 (CT)

Record details

NPI number1164517512
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address50 Academy Hill Road, P.O. Box 201, Plainfield, CT 06374

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Day Kimball Healthcare, Inc. — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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