Elizabeth Ann Grayson, LADC/C, LPC-C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6333 E Skelly Dr
Tulsa, OK 74135-6106

Phone

(918) 664-4224

Fax

(918) 664-8732

NPI assigned

Jan 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Ann Hebert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1285198515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 E 25TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741145104",
            "telephone_number": "918-520-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 E SKELLY DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356106",
            "telephone_number": "918-664-4224",
            "fax_number": "918-664-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LADC/C, LPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HEBERT",
            "middle_name": "ANN",
            "credential": "LADC-C, LPC-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebekah Leanne Gray, APRN
• Shannon Ann Gray, BHCM I
• Von McNeil Gray
• Wesley Derringer Gray Jr.
• William Knight Gray, MD
• Jessica Denise Grayson
• Jessica Robin Grayson
• Robert Wayne Grayson Jr.
• Great Plains Recovery Center
• Greater Tulsa Anesthesiologists PLLC

• Addiction (Substance Use Disorder) Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.