Katherine Kelly Gray

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001531 Issued in VA

Practice address

2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448

Phone

(703) 768-6240

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 18, 2024 through Apr 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mount Vernon Family Therapy

  • Clinical Psychologist
  • Alexandria, VA
  • NPI 1235745936
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1144834185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 28TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222071108",
            "telephone_number": "202-557-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HUNTINGTON AVE STE 302",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031448",
            "telephone_number": "703-768-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KATHERINE",
        "middle_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fern Lorraine Grapin, MD
• Asha Gray, LPC
• Brooke Lanell Gray, D.O.
• Emily Gray
• Erica Michele Gray
• Melina Ariel Gray
• Sean Cornelius Gray
• Shavonne Gray, MS, LPC
• Valla V Grayeli, DMD
• Jane Grayson, MD

• Marriage & Family Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.