Jennifer Gray, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008877 Issued in IL

Practice address

201 E Huron St Ste 11-100
Chicago, IL 60611-2968

Phone

(312) 860-0480

Fax

(312) 926-3709

NPI assigned

Apr 29, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Windy City Counseling LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1083012249

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• John P Gerber MD, SC

  • Specialist
  • Chicago, IL
  • NPI 1326237660
  NPD (past)
• Philip K McCullough MD SC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1003017864
  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1235549379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 HARTZELL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011424",
            "telephone_number": "312-860-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E HURON ST STE 11-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112968",
            "telephone_number": "312-860-0480",
            "fax_number": "312-926-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Central Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912644",
            "country_code": "US",
            "telephone_number": "312-860-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JENNIFER",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "27727",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Gray
• Derek Allen Gray, PTA
• Dominique Gray
• Erica Gray
• Jalisa Gray
• Jocelyn L Gray, RN
• Lawrence A Gray, MD
• Lisa Gray
• Melanie Gray, ND
• Melissa Gray, APN

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.