Active NPI
Bridget Gray, P.C.C.
- Mental Health Counselor
- Kent, OH
National Provider Identifier
1245675727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0800366
- Practice address
- 143 Gougler Ave
Kent, OH 44240-2401 - Phone
- (330) 677-4124
- NPI assigned
- May 9, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.0800366 | OH | Primary |
Addresses
Primary practice location
143 Gougler Ave
Kent, OH 44240-2401
Mailing address
143 Gougler Ave
Kent, OH 44240-2401
Phone (330) 677-4124
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0800366 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1245675727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 GOUGLER AVE",
"city": "KENT",
"state": "OH",
"postal_code": "442402401",
"telephone_number": "330-677-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 GOUGLER AVE",
"city": "KENT",
"state": "OH",
"postal_code": "442402401",
"telephone_number": "330-677-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "BRIDGET",
"credential": "P.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0800366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.