Individual provider Active NPI

Kylie Elise Gray, LMHC

  • Mental Health Counselor
  • Buffalo, NY
National Provider Identifier
1174302665
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017990 Issued in NY
Practice address
1500 Broadway St
Buffalo, NY 14212-1862
Phone
(716) 895-6700
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 017990 NY Primary

Addresses

Primary practice location

1500 Broadway St
Buffalo, NY 14212-1862

Mailing address

1500 Broadway St
Buffalo, NY 14212-1862
Phone (716) 895-6700

Other practice location 1

501 John James Audubon Pkwy Ste 110
Amherst, NY 14228-1143
Phone (716) 202-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

795 Indian Church Rd
West Seneca, NY 14224-1205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1174302665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121862",
            "telephone_number": "716-895-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121862",
            "telephone_number": "716-895-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 John James Audubon Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142281143",
            "country_code": "US",
            "telephone_number": "716-202-8877",
            "fax_number": "716-463-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KYLIE",
        "middle_name": "ELISE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.