Organization Active NPI

Grey Matters Counseling and Coaching LLC,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson City, MO
National Provider Identifier
1376248922
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GREY MATTERS COUNSELING AND COACHING LLC,
Practice address
915 Southwest Blvd Ste E
Jefferson City, MO 65109-5014
Phone
(641) 485-0602
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Marcey L Smith, LPCNPI 1043726870
Title
Owner/Therapist
Phone
(641) 485-0602

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

915 Southwest Blvd Ste E
Jefferson City, MO 65109-5014

Mailing address

915 Southwest Blvd Ste E
Jefferson City, MO 65109-5014
Phone (641) 485-0602

Other names 1

  • Gray Matters Counseling and Coaching, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605003053 MO Part B Supplier - Clinic/Group Practice 6204378292 Receives reassigned benefits from 1 practitioner
Practice locations: Jefferson City, MO

National Provider Directory

National Provider Directory

Locations

915 Southwest Blvd
Ste E
Jefferson Cty, MO 65109
Phone (573) 634-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1376248922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD STE E",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "641-485-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD STE E",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "641-485-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY MATTERS COUNSELING AND COACHING LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARCEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "641-485-0602",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gray Matters Counseling and Coaching, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gray Matters Counseling and Coaching, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.