Organization Active NPI

Gray Counseling, PC

  • Counselor
  • Omaha, NE
National Provider Identifier
1326443631
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1227 Issued in NE
Legal business name
GRAY COUNSELING, PC
Practice address
11620 Arbor St Ste 203
Omaha, NE 68144-2972
Phone
(402) 504-4924
Fax
(402) 505-3754
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Ms. Ann E Gray, MA, LIMHPNPI 1194768770
Title
Therapist/President
Phone
(402) 504-4924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1227 NE Primary
Mental Health Counselor 101YM0800X 443 NE

Addresses

Primary practice location

11620 Arbor St Ste 203
Omaha, NE 68144-2972

Mailing address

11620 Arbor St Ste 203
Omaha, NE 68144-2972
Phone (402) 504-4924

Other identifiers 1

IdentifierTypeStateIssuer
537720000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240930001197 NE Part B Supplier - Clinic/Group Practice 6800327040 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

11620 Arbor St
Ste 203
Omaha, NE 68144
Phone (402) 504-4924

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1326443631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 ARBOR ST STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442972",
            "telephone_number": "402-504-4924",
            "fax_number": "402-505-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 ARBOR ST STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442972",
            "telephone_number": "402-504-4924",
            "fax_number": "402-505-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "402-504-4924",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LIMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "1227",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537720000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.