Individual provider Active NPI

Jonathan Gray, LPC, LAC

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1487976452
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4488 Issued in CO
Practice address
10200 E Girard Ave
D-218
Denver, CO 80231-5633
Phone
(720) 773-1264
NPI assigned
Feb 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 871 CO
Mental Health Counselor 101YM0800X 4488 CO Primary

Addresses

Primary practice location

10200 E Girard Ave
D-218
Denver, CO 80231-5633

Mailing address

10200 E Girard Ave
D-218
Denver, CO 80231-5633
Phone (720) 773-1264

Other practice location 1

8801 Lipan St
Thornton, CO 80260-4912
Phone (303) 412-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4488COMDMental Health Counselor
871COMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487976452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "D-218",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315633",
            "telephone_number": "720-773-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 E GIRARD AVE",
            "address_2": "D-218",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315633",
            "telephone_number": "720-773-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 Lipan St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802604912",
            "country_code": "US",
            "telephone_number": "303-412-3630",
            "fax_number": "303-412-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JONATHAN",
        "credential": "LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "871",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.