Active NPI
Haley Monea Grayson, MS
- Professional Counselor
- Wylie, TX
National Provider Identifier
1174381818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 94082
- Practice address
- 303 S Highway 78 Ste 100-103
Wylie, TX 75098-3944 - Phone
- (469) 342-3468
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 94082 | TX | Primary |
Addresses
Primary practice location
303 S Highway 78 Ste 100-103
Wylie, TX 75098-3944
Mailing address
2732 Gaston Ave Apt 212
Dallas, TX 75226-2708
Phone (918) 936-1558
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
303 S Hwy 78
Suite 100
Wylie, TX 75098-3957
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94082 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCNT Inc. | Current | Accepting new patients |
Locations
720 E Park Blvd
Ste 204
Plano, TX 75074
Phone (469) 342-3468
303 S Highway 78
Ste 100
Wylie, TX 75098
Phone (469) 342-3468
303 S Highway 78
Ste 100103
Wylie, TX 75098
Phone (469) 342-3468
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1174381818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 GASTON AVE APT 212",
"city": "DALLAS",
"state": "TX",
"postal_code": "752262708",
"telephone_number": "918-936-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S HIGHWAY 78 STE 100-103",
"city": "WYLIE",
"state": "TX",
"postal_code": "750983944",
"telephone_number": "469-342-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "HALEY",
"middle_name": "MONEA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "94082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.