Active NPI
Georgia Charlotte Gray
- Professional Counselor
- Gaithersburg, MD
National Provider Identifier
1275367724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC18358
- Practice address
- 9053 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (240) 810-3790
- NPI assigned
- Aug 28, 2024
- Last updated
- Sep 1, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGPC200001752 | DC | |
| Professional Counselor | 101YP2500X | LC18358 | MD | Primary |
Addresses
Primary practice location
9053 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
9053 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (240) 810-3790
Other practice location 1
2600 Virginia Ave NW Ste 205
Washington, DC 20037-1945
Phone (240) 810-3790
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 |
|---|---|---|---|
| LGP15499 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Counseling Group, LLC | Mental Health | Current | Accepting new patients |
Locations
9053 Shady Grove Ct
Gaithersburg, MD 20877
Phone (240) 810-3790
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Gaithersburg, MD
- NPI 1558000471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1275367724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "240-810-3790",
"fax_number": "240-243-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9053 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "240-810-3790"
}
],
"practiceLocations": [
{
"address_1": "2600 Virginia Ave NW Ste 205",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200371945",
"country_code": "US",
"telephone_number": "240-810-3790",
"fax_number": "240-243-6259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "GEORGIA",
"middle_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "LGPC200001752",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC18358",
"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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.