Active NPI
Lori Gray, LPC, EMDR TR,
- Professional Counselor
- Lakewood, CO
National Provider Identifier
1295392215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016254
- Practice address
- 3595 S Teller St
Lakewood, CO 80235-2014 - Phone
- (303) 425-0300
- NPI assigned
- May 24, 2019
- Last updated
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0016254 | CO | Primary |
Addresses
Primary practice location
3595 S Teller St
Lakewood, CO 80235-2014
Mailing address
4851 Independence St
Wheat Ridge, CO 80033-6715
Phone (303) 425-0300
Other practice location 1
9894 Rosemont Ave Ste 202
Lone Tree, CO 80124-4103
Phone (303) 241-0421
Other practice location 2
144 W 11th Ave
Denver, CO 80204-3617
Phone (303) 355-4422
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 |
|---|---|---|---|
| LPC.0016254 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Place at Lone Tree | Mental Health | Past | Accepting new patients |
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
- Lone Tree, CO
- NPI 1376133736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1295392215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-425-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3595 S TELLER ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352014",
"telephone_number": "303-425-0300"
}
],
"practiceLocations": [
{
"address_1": "9894 Rosemont Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801244103",
"country_code": "US",
"telephone_number": "303-241-0421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "144 W 11th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802043617",
"country_code": "US",
"telephone_number": "303-355-4422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "LORI",
"credential": "LPC, EMDR TR,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2022-10-18",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.