Jeffrey Wayne Gray, IMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

F0000046 Issued in OH

Practice address

1763 State Route 60
114
Ashland, OH 44805-8707

Phone

(419) 289-4825

NPI assigned

May 1, 2014

Last updated

May 1, 2014By the provider in NPPES

Sex

Male

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 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

Marriage and Family Therapist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Life Counseling and Psychiatric ServicesGroup PAC ID 0749353464, 12 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Life Counseling & Psychiatric Services

  • Mental Health Counselor
  • Mansfield, OH
  • NPI 1598862641
  Medicare reassignment Care Compare group NPD
• Family Life Counseling & Psychiatric Services

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, OH
  • NPI 1669731246
  NPD

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1497165377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 STATE ROUTE 60",
            "address_2": "114",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058707",
            "telephone_number": "419-289-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 STATE ROUTE 60",
            "address_2": "114",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058707",
            "telephone_number": "419-289-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F0000046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Gonzalez
• Good Shepherd Operator LLC (The Good Shepherd Health and Rehabilitation Center)
• Teri L Gourley, D.O.
• Rebecca Danielle Granger, FNP-C
• Pamela Ann Grassick, APRN
• Benjamin Richard Gregg, DDS, MS
• Robin M Grenier, CT
• Mark Grimes, M.D.
• Dennis Michael Gruber, ATC
• John Guliano, PC

• Marriage & Family Therapist in Ashland, OH
• Providers in Ashland, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.