Alissa Madeline Gray, MA, AMFT, APCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

18646 Oxnard St
Tarzana, CA 91356-1486

Phone

(818) 654-3828

Fax

(818) 654-3878

NPI assigned

Feb 15, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1295480549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26096 TAMPICO DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553310",
            "telephone_number": "818-457-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561486",
            "telephone_number": "818-654-3828",
            "fax_number": "818-654-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALISSA",
        "middle_name": "MADELINE",
        "name_prefix": "Miss",
        "credential": "MA, AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Mouw, M.D., a Medical Corporation
• Deborah Ann Graham
• Gavin Graham
• Michael Glenn Graham
• Ahou Marcelle Gray
• Esperanza G Gray
• Garin Gray
• Destiny Grayson
• Helen Marcia Grebow, PH.D., PSY.D.
• Green Path Psychiatric Nursing Practitioner Services, Inc.

• Addiction (Substance Use Disorder) Counselor in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.