Jeffrey L Gray, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2404619 Issued in OH

Practice address

2680 W Market St
Fairlawn, OH 44333-4215

Phone

(234) 867-5001

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerge Ministries IncGroup PAC ID 7416914809, 18 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.

• Emerge Ministries, Inc

  • Mental Health Counselor
  • Akron, OH
  • NPI 1275683690

  OH, Professional

  Medicare reassignment Care Compare group NPD
• DGS Ministries, LLC

  • Community/Behavioral Health Agency
  • Fairlawn, OH
  • NPI 1154904332

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1477583094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334215",
            "telephone_number": "234-867-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334215",
            "telephone_number": "234-867-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Summar Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013906",
            "country_code": "US",
            "telephone_number": "731-935-8200",
            "fax_number": "731-935-8327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Mull Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443137597",
            "country_code": "US",
            "telephone_number": "330-867-5603",
            "fax_number": "330-873-3439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404619",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "1196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1501518",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Goodman, SLP
• Mark C Gorman, DDS
• Darrell Lynnn Grace, D.O.
• Graceful Living Care LLC
• Destiny Grant, LPCC
• Taylor Noelle Gray, AT
• Bernadette Grayer
• Helen M Grayson, LISW S
• Linda Greczanik, RN
• Allison Lindsay Green

• All providers in Fairlawn, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.