Active NPI
Dorian L Gray, BACHELORS
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1225553860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12097 Old Hammond Highway, Ste I-1
Baton Rouge, LA 70816 - Phone
- (225) 421-1881
- Fax
- (225) 421-1882
- NPI assigned
- Aug 4, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
12097 Old Hammond Highway, Ste I-1
Baton Rouge, LA 70816
Mailing address
12097 Old Hammond Highway, Ste I-1
Baton Rouge, LA 70815
Phone (225) 421-1881
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miiboso Consultants | Mental Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1225553860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12097 OLD HAMMOND HIGHWAY, STE I-1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70815",
"telephone_number": "225-421-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12097 OLD HAMMOND HIGHWAY, STE I-1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70816",
"telephone_number": "225-421-1881",
"fax_number": "225-421-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "DORIAN",
"middle_name": "L",
"credential": "BACHELORS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-04",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.