Jenna Gray

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15917 Issued in NC

Practice address

2719 Neuse Blvd Ste D
New Bern, NC 28562-2857

Phone

(252) 514-9888

NPI assigned

Oct 5, 2021

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Second Chance Behavioral HealthGroup PAC ID 2961836408, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Second Chance Behavioral Health

  • Mental Health Counselor
  • New Bern, NC
  • NPI 1205341112
  Medicare reassignment Care Compare group NPD
• Purposeful Conversations, PLLC

  • Adult Mental Health Clinic/Center
  • Wilmington, NC
  • NPI 1083564751
  NPD Authorized official

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1447922778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 CASSIMIR PL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123433",
            "telephone_number": "276-229-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 NEUSE BLVD STE D",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622857",
            "telephone_number": "252-514-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Grant, MD
• Dixie Wheeler Granzella, FNP-C
• April L Graves, FNP-C
• Adam Clarke Gray
• Jan Meeks Gray, DPT
• Michelle Wensing Graziosi, L.P.A.
• Great Place to Start Behavioral Health Services
• Lynette Leigh Greathouse, RN
• Katherine S Green, ACNP-AG
• Kayla Quinnae Green

• Mental Health Counselor in New Bern, NC
• Providers in New Bern, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.