Gray Horse Mental Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRAY HORSE MENTAL WELLNESS LLC

Practice address

3500 N 99TH St
Kansas City, KS 66109

Phone

(913) 638-1246

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Mandy Aycock, LPC

Title

Owner, Practitioner

Phone

(913) 638-1246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1508330101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 WOODSTOCK ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189141",
            "telephone_number": "913-638-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N 99TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66109",
            "telephone_number": "913-638-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY HORSE MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "AYCOCK",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER, PRACTITIONER",
        "authorized_official_telephone_number": "913-638-1246",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Grasing, MD
• Dennis Grauer, BS, MS, PHD
• Evan Thomas Graumann, MD
• Amya Graves
• Jordan Kristine Graves
• Brandy Marie Gray, APRN
• Lauren Leigh Gray, CRNA
• Meredith Kathleen Gray, M.D.
• Riley Gray, DO
• Taylor Nicole Gray

• Mental Health Counselor in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Mental Health Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.