Active NPI
Stephanie Gray
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1497103733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 200 S Biscayne Blvd
Miami, FL 33131-2310 - Phone
- (210) 248-9077
- NPI assigned
- May 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| School Counselor | 101YS0200X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
200 S Biscayne Blvd
Miami, FL 33131-2310
Mailing address
4041 Indian River Dr
Cocoa, FL 32927-5905
Phone (201) 310-7765
Other practice location 1
4041 Indian River Dr
Cocoa, FL 32927-5905
Phone (201) 310-7765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 7, 2024 through Jun 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lev Therapy | Current | Accepting new patients | |
| 180 Health Partners , Inc | Mental Health | Current | Accepting new patients |
Locations
200 S Biscayne Blvd
Miami, FL 33131
Phone (210) 248-9077
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Miami, FL
- NPI 1194525071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588464000000",
"number": "1497103733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 INDIAN RIVER DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329275905",
"telephone_number": "201-310-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S BISCAYNE BLVD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312310",
"telephone_number": "210-248-9077"
}
],
"practiceLocations": [
{
"address_1": "4041 Indian River Dr",
"address_purpose": "LOCATION",
"city": "Cocoa",
"state": "FL",
"postal_code": "329275905",
"country_code": "US",
"telephone_number": "201-310-7765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2020-05-03",
"certification_date": "2020-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.