Individual provider Active NPI

Melinda E Williams-Gray, PHD

  • Counseling Psychologist
  • Crofton, MD
National Provider Identifier
1043751217
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY1001152 Issued in DC
Practice address
2139 Espey Court
Suite 2
Crofton, MD 21114
Phone
(202) 810-4148
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY1001152 DC Primary

Addresses

Primary practice location

2139 Espey Court
Suite 2
Crofton, MD 21114

Mailing address

12138 Central Ave Ste 176
Mitchellville, MD 20721-1910
Phone (202) 810-4148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250821004046 MD Practitioner - Clinical Psychologist 4082114301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6710 Laurel Bowie Rd
Suite 841
Bowie, MD 20715-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1001152DCMDCounseling Psychologist
06771MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Into the Gray Counseling and Consulting LLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

6710 Laurel Bowie Rd
#841
Bowie, MD 20715

2139 Espey Ct
Ste 2
Crofton, MD 21114
Phone (202) 230-2374

12138 Central Ave
Mitchellville, MD 20721
Phone (240) 636-1663

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3015/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/24078/brand/1/csg/1/fhir/r4

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1043751217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE STE 176",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "202-810-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 ESPEY COURT",
            "address_2": "SUITE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "202-810-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-GRAY",
        "first_name": "MELINDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DC",
            "license": "PSY1001152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.