Individual provider Active NPI

Whitney Gray, LMHC

  • Mental Health Counselor
  • Spirit Lake, IA
National Provider Identifier
1013533900
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
101263 Issued in IA
Practice address
2230 33Rd St Ste 8
Spirit Lake, IA 51360-7632
Phone
(712) 260-3117
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 101263 IA Primary

Addresses

Primary practice location

2230 33Rd St Ste 8
Spirit Lake, IA 51360-7632

Mailing address

PO Box 25
Arnolds Park, IA 51331-0025
Phone (712) 260-3117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101263IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Illusions Counseling LLC Mental Health CurrentSince Aug 27, 2023 Accepting new patients
Northwest Iowa Mental Health Center PastSince Jun 1, 2020 Accepting new patients
Youth and Family Resource Services PastSince Jun 1, 2020 Accepting new patients

Locations

1025 5th Ave SE
Spencer, IA 51301
Phone (712) 262-3517

2230 33rd St
Ste 8
Spirit Lake, IA 51360
Phone (712) 336-1600

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1013533900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "ARNOLDS PARK",
            "state": "IA",
            "postal_code": "513310025",
            "telephone_number": "712-260-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 33RD ST STE 8",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607632",
            "telephone_number": "712-260-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "WHITNEY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "101263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.