Elizabeth Louise Gray, ACMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11856484-6009 Issued in UT

Practice address

9140 S State St Ste 101-20
Sandy, UT 84070-2684

Phone

(801) 341-9521

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By the provider in NPPES

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

Practice roles

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

• Words of Wisdom Counseling

  dba Safe Space Counseling

  • Mental Health Counselor
  • Provo, UT
  • NPI 1760971006
  NPD (past)

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1487398582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W 840 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840034254",
            "telephone_number": "435-850-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 S STATE ST STE 101-20",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702684",
            "telephone_number": "801-341-9521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "379 N University Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846012878",
            "country_code": "US",
            "telephone_number": "801-341-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ELIZABETH",
        "middle_name": "LOUISE",
        "credential": "ACMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11856484-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Rose Gratton
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• Daniel Green
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• Jolene M Green, LCSW
• Michelle H Greene, LCSW

• Mental Health Counselor in Sandy, UT
• Providers in Sandy, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.