Psychological Counseling Therapies,PLLC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

WV1107 Issued in WV

Legal business name

PSYCHOLOGICAL COUNSELING THERAPIES,PLLC

Practice address

118 W Burke St
Martinsburg, WV 25401-3302

Phone

(304) 676-2808

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Gray, EDDNPI 1205106663

Title

Psychologist

Phone

(304) 676-2808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Gray, ED.D.

  • Counseling Psychologist
  • Martinsburg, WV
  • NPI 1205106663
  NPD Authorized official

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1043684699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W BURKE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013302",
            "telephone_number": "304-676-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W BURKE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013302",
            "telephone_number": "304-676-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL COUNSELING THERAPIES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-676-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "WV1107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910006710",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Sportscare & Rehab of West Virginia, LLC
• Angeni Proffitt
• Mark Edward Promersberger, M.D.
• Lori Prunty
• Psychological Consulting Inc
• Heaven Puffenbarger
• Dahlia C Pugh, MSW
• Elizabeth Puller
• Pulmonary Associates, Incorporated
• Brandy D Pulse

• Addiction (Substance Use Disorder) Psychologist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Addiction (Substance Use Disorder) Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.