Individual provider Active NPI

Jennifer Grey

  • Professional Counselor
  • Walkersville, MD
National Provider Identifier
1366845976
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
208 Sandstone Dr
Walkersville, MD 21793-9146
Phone
(240) 793-5295
NPI assigned
Sep 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X LC5032 MD
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

208 Sandstone Dr
Walkersville, MD 21793-9146

Mailing address

208 Sandstone Dr
Walkersville, MD 21793-9146
Phone (301) 845-4736

Other practice location 1

751 Rockville Pike
#16B
Rockville, MD 20852-1142
Phone (240) 739-5295

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

LicenseStateTypeSpecialty
LC5032MDMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Grey LCPC LLC Professional CurrentSince Aug 18, 2019 Accepting new patients
Basal Therapies, LLC Professional Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1366845976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SANDSTONE DR",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217939146",
            "telephone_number": "301-845-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SANDSTONE DR",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217939146",
            "telephone_number": "240-793-5295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Rockville Pike",
            "address_2": "#16B",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521142",
            "country_code": "US",
            "telephone_number": "240-739-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREY",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MD",
            "license": "LC5032",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walkersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.