Susan Louise Gray, LVN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

VN149539 Issued in CA

Practice address

102 W Main St
San Jacinto, CA 92583-4121

Phone

(951) 487-8376

Fax

(951) 487-8458

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1407045719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834121",
            "telephone_number": "951-487-8376",
            "fax_number": "951-487-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834121",
            "telephone_number": "951-487-8376",
            "fax_number": "951-487-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "VN149539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Teresa Peterson Gordon, M.D.
• Ashleigh Gorgeous
• Virginia Nava Gradilla, CNA
• Grandeur Care Hospice LLC
• Khea Gray, LVN
• Christine Renee Greene, RN, BSN
• Marion Gregorio
• Ashlee Gribble, DPT
• Grief Solutions Counseling Center
• Priscilla Alberta Grijalva, PPS

• Mental Health Counselor in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.