Erin Kathleen Gray, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-5113 Issued in ID

Practice address

801 Pine St Ste 2
Sandpoint, ID 83864-1682

Phone

(208) 263-7716

Fax

(208) 263-7719

NPI assigned

May 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Kathleen Nugent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23843/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1003226473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SPRUCE ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642132",
            "telephone_number": "208-610-6929",
            "fax_number": "208-263-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PINE ST STE 2",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641682",
            "telephone_number": "208-263-7716",
            "fax_number": "208-263-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "NUGENT",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emerson G Godbolt, D.M.D.
• Arthur S Goldblum, LAC DIPLAC
• Stacey A Good, D.O.
• Mari Goodpaster, LMT
• Susan R Gordon, LPC
• Greenway Corporation
• Geoffrey David Greenway, DC
• Kelly Greenway, FNTP, MRWP
• Perry E Grey Harper, PSY.D.
• Nichole Suzanne Grimm, NP

• All providers in Sandpoint, ID
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.