Active NPI
Kelsey Kaylene Gray
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1023945771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873 - Phone
- (616) 888-1120
- NPI assigned
- May 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MI | Primary |
Addresses
Primary practice location
2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873
Mailing address
2013 Eastcastle Dr SE Ste B
Grand Rapids, MI 49508-8873
Phone (616) 888-1120
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Journey PLLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1023945771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 EASTCASTLE DR SE STE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495088873",
"telephone_number": "616-888-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 EASTCASTLE DR SE STE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495088873",
"telephone_number": "616-888-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "KELSEY",
"middle_name": "KAYLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.