Gary Steven Bray, M. S,, LMHC
Individual provider Active NPI Mental Health Counselor · Milton, FL
NPI 1154512473 · NPPES record last updated Jan 31, 2011
Key facts
- NPI
- 1154512473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH 7729 (FL)
- Practice address
- Blackwater Stop Camp
2451 Stop Camp Road
Milton, FL 32570-9111 - Phone
- (850) 957-0995
- Fax
- (850) 957-1000
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healthy Minds Counseling Inc
Practice addresses (Care Compare)
222 Auburn St
Suite 103
Portland, ME 04103-6005
Phone (207) 616-1127
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250505001810 | ME | Practitioner - Mental Health Counselor | 5698292597 | Reassigns benefits to 1 organization |
| I20260123000757 | FL | Practitioner - Mental Health Counselor | 5698292597 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 7729 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Minds Counseling, Inc. | Current |
Accepting new patients | |
| Living in Hope Counseling, LLC | Mental Health | Current |
Accepting new patients |
Locations
12724 Gran Bay Pkwy W
Ste 410
Jacksonville, FL 32258
Phone (612) 408-1431
222 Auburn St
Ste 103
Portland, ME 04103
Phone (207) 373-8522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 7729 | FL | Yes |
Addresses
Primary practice location
Blackwater Stop Camp
2451 Stop Camp Road
Milton, FL 32570-9111
Mailing address
137 Hospital Dr.
Fort Walton Beach, FL 32548-5063
Phone (850) 833-7400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 765922900 | Medicaid | FL |
Other providers in Milton, FL
- Aubrey M Bradley
- Gary Carl Bradley
- Mandy Nicole Bradshaw
- Branch Medical Clinic Whiting Field
- Janet Arleen Branch
- Talitha Briese
- Shlanna Patrice Brooks
- Tavaris Brooks Sr.
- Kaytlin Brown
- Marjorie H. Brown
All providers in Milton, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.