Individual provider Active NPI

Cozy Gray, LPC, M.ED, NCC

  • Professional Counselor
  • Ridgeland, MS
National Provider Identifier
1508587940
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3382 Issued in MS
Practice address
110 Pine Knoll Dr Apt 45
Ridgeland, MS 39157-1323
Phone
(601) 473-2106
NPI assigned
Sep 5, 2022
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3382 MS
Professional Counselor 101YP2500X 3382 MS Primary

Addresses

Primary practice location

110 Pine Knoll Dr Apt 45
Ridgeland, MS 39157-1323

Mailing address

110 Pine Knoll Dr Apt 45
Ridgeland, MS 39157-1323
Phone (662) 351-8404

Other practice location 1

604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone (601) 473-2106

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1508587940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PINE KNOLL DR APT 45",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571323",
            "telephone_number": "662-351-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PINE KNOLL DR APT 45",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571323",
            "telephone_number": "601-473-2106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Highway 80 W Ste R",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390564108",
            "country_code": "US",
            "telephone_number": "601-473-2106",
            "fax_number": "601-473-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "COZY",
        "credential": "LPC, M.ED, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "3382",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.