Active NPI
Ella Mae Gray, M.A., LCPC
- Professional Counselor
- Gaithersburg, MD
National Provider Identifier
1194034041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC-4709
- Practice address
- 957 Russell Ave Ste a
Gaithersburg, MD 20879-6216 - Phone
- (301) 990-2777
- Fax
- (301) 990-3999
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC-4709 | MD | Primary |
Addresses
Primary practice location
957 Russell Ave Ste a
Gaithersburg, MD 20879-6216
Mailing address
957 Russell Ave Ste a
Gaithersburg, MD 20879-6216
Phone (301) 990-2777
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC-4709 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Principles Counseling Services LLC | Professional | 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.
-
- Professional Counselor
- Gaithersburg, MD
- NPI 1053859025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1194034041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 RUSSELL AVE STE A",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208796216",
"telephone_number": "301-990-2777",
"fax_number": "301-990-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 RUSSELL AVE STE A",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208796216",
"telephone_number": "301-990-2777",
"fax_number": "301-990-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ELLA",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "M.A., LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC-4709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.