Individual provider Active NPI

Erin Patricia Gray, MH12924

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1003186271
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12924 Issued in FL
Practice address
101 Timberlachen Circle
Suite 101
Lake Mary, FL 32746
Phone
(407) 302-8622
Fax
(407) 330-5244
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12924 FL Primary

Addresses

Primary practice location

101 Timberlachen Circle
Suite 101
Lake Mary, FL 32746

Mailing address

139 S Orange Ave
Sanford, FL 32771-8308
Phone (407) 302-8622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251008000968 FL Practitioner - Mental Health Counselor 8527565472 Reassigns benefits to 1 organization
I20260403001500 VT Practitioner - Mental Health Counselor 8527565472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 3, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Be Well Within, LLC Mental Health PastSince Sep 14, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Networks

  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • AL HMO
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO D-SNP
  • FL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO
  • FL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: eringray@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003186271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S ORANGE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718308",
            "telephone_number": "407-302-8622",
            "fax_number": "407-330-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TIMBERLACHEN CIRCLE",
            "address_2": "SUITE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-302-8622",
            "fax_number": "407-330-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ERIN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MH12924",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.