Active NPI
David F Gray, PCC
- Mental Health Counselor
- Cleveland, OH
National Provider Identifier
1124299953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E. 0008341
- Practice address
- 14538 Grapeland Ave
Cleveland, OH 44111-2107 - Phone
- (216) 252-1399
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E. 0008341 | OH | Primary |
Addresses
Primary practice location
14538 Grapeland Ave
Cleveland, OH 44111-2107
Mailing address
14504 Delaware Ave
Lakewood, OH 44107-5941
Phone (216) 258-2930
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
| License | State | Type | Specialty |
|---|---|---|---|
| E. 0008341 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daily Behavioral Health | Past | Accepting new patients |
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.
-
- Clinical Child & Adolescent Psychologist
- Cleveland, OH
- NPI 1790884716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1124299953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14504 DELAWARE AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441075941",
"telephone_number": "216-258-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14538 GRAPELAND AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441112107",
"telephone_number": "216-252-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "DAVID",
"middle_name": "F",
"credential": "PCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E. 0008341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.