Individual provider Active NPI

Janice Gray, LPC, CEAP, LMFT

  • Professional Counselor
  • Norfolk, VA
National Provider Identifier
1073707410
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001710 Issued in VA
Practice address
110 Kingsley LN Ste 206
Norfolk, VA 23505-4616
Phone
(757) 398-2374
Fax
(757) 889-3439
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22757 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710000409 VA
Professional Counselor 101YP2500X 22757 VA
Professional Counselor 101YP2500X 0701001710 VA Primary
Marriage & Family Therapist 106H00000X 0717000709 VA

Addresses

Primary practice location

110 Kingsley LN Ste 206
Norfolk, VA 23505-4616

Mailing address

110 Kingsley LN Ste 206
Norfolk, VA 23505-4616
Phone (757) 398-2374

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
0710000409VAMDAddiction (Substance Use Disorder) Counselor
0701001710VAMDProfessional Counselor
22757VAMDProfessional Counselor
0717000709VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryview Hospital Past Accepting new patients
Bon Secours Eap Past Accepting new patients

Organizations & group practices 2

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1073707410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN STE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054616",
            "telephone_number": "757-398-2374",
            "fax_number": "757-889-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN STE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054616",
            "telephone_number": "757-398-2374",
            "fax_number": "757-889-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "credential": "LPC, CEAP, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "22757",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "22757",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001710",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.