Marie Colette Gray, PHD; NCP; LPC;FAAGFS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003840 Issued in PA

Practice address

1172 Twin Stacks Drive
Dallas, PA 18612-9178

Phone

(570) 674-1505

Fax

(570) 674-8679

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Marie Colette Dobrowolski Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Pathways Counseling IncGroup PAC ID 4981041134, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Safe Pathways Counseling Inc

  • Mental Health Counselor
  • Dallas, PA
  • NPI 1548048903
  Medicare reassignment Care Compare group NPD Authorized official
• Cornerstone Counseling & Consulting Specialists LLC

  • Professional Counselor
  • Dallas, PA
  • NPI 1245477975
  NPD (past) Authorized official

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1265679997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 TWIN STACKS DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128505",
            "telephone_number": "570-674-1505",
            "fax_number": "570-674-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 TWIN STACKS DRIVE",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129178",
            "telephone_number": "570-674-1505",
            "fax_number": "570-674-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARIE",
        "middle_name": "COLETTE",
        "name_prefix": "Ms.",
        "credential": "PHD; NCP; LPC;FAAGFS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW",
            "identifier": "1023153600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "DOBROWOLSKI",
            "middle_name": "COLETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Morgan Goeringer, D.D.S.
• Dennis C. Gold, PH.D.
• Anthony David Goodall, DPT
• Curtis L Goodwin, OD
• Jennifer Nicole Goresh, PHARMD
• Green Phoenix Behavioral Health Services
• Joan Elizabeth Greulick, MD
• Joseph Grzech
• Kathryn Olivia Gussman, M.D.
• David Hage, MSW, LCSW

• Professional Counselor in Dallas, PA
• Providers in Dallas, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.

Verify at the official NPI Registry.