Individual provider Active NPI

Alexander Stewart Gray, MA

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1053535955
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
109 Issued in NE
Practice address
2808 N 75TH St
Omaha, NE 68134-6861
Phone
(402) 932-2248
Fax
(402) 455-1811
NPI assigned
Apr 12, 2007
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 109 NE Primary

Addresses

Primary practice location

2808 N 75TH St
Omaha, NE 68134-6861

Mailing address

2406 Fowler Ave
Omaha, NE 68111-2013
Phone (402) 453-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20231122002765 NE Practitioner - Mental Health Counselor 2264503101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inroads to Recovery IncGroup PAC ID 0244450393, 6 clinicians

Practice addresses (Care Compare)

2808 N 75TH St
Omaha, NE 68134-6861
Phone (402) 932-2248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Inroads to Recovery, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Hidden Dimensions Counseling Mental Health Current Accepting new patients
Eastern Nebraska Community Action Partnership Past Accepting new patients

Locations

2808 N 75th St
Omaha, NE 68134
Phone (402) 932-2248

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1053535955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 FOWLER AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681112013",
            "telephone_number": "402-453-5656",
            "fax_number": "402-455-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 N 75TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346861",
            "telephone_number": "402-932-2248",
            "fax_number": "402-455-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALEXANDER",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.