Individual provider Active NPI

Brittney Gray

  • Mental Health Counselor
  • Vicksburg, MS
National Provider Identifier
1093468043
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1905 Mission 66
Vicksburg, MS 39180-3711
Phone
(601) 738-5820
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 Primary

Addresses

Primary practice location

1905 Mission 66
Vicksburg, MS 39180-3711

Mailing address

1905 Mission 66
Vicksburg, MS 39180-3711
Phone (601) 738-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240919001787 MS Practitioner - Mental Health Counselor 5991246845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians

Practice addresses (Care Compare)

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

326 Van Buren St
Canton, MS 39046-4737
Phone (601) 859-5213

364 Martin Luther King Dr
Canton, MS 39046-3654
Phone (601) 859-5213

529 Mace St
Canton, MS 39046-3319
Phone (601) 859-5213

P O Box
Suite 588
Canton, MS 39046-0588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
G.a. Carmichael Family Health Center, Inc. CurrentSince Jul 11, 2024 Accepting new patients
G a Carmichael Family Health Center, Inc CurrentSince Jul 11, 2024 Accepting new patients
Positive Pathways, LLC CurrentSince Feb 6, 2022 Accepting new patients
G a Carmichael Family Health Center Inc Current Accepting new patients

Locations

1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: brittney.gray.p1@direct.gacfhc.nextgenshare.com

Organizations & group practices 4

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1093468043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-738-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-738-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRITTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.