Individual provider Active NPI

Laura Meggen Gray

  • Social Worker
  • New Braunfels, TX
National Provider Identifier
1548972904
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108174 Issued in TX
Practice address
3016 Independence Dr Ste 105
New Braunfels, TX 78132-4478
Phone
(830) 402-5890
Fax
(210) 660-4578
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108174 TX Primary

Addresses

Primary practice location

3016 Independence Dr Ste 105
New Braunfels, TX 78132-4478

Mailing address

3016 Independence Dr Ste 105
New Braunfels, TX 78132-4478
Phone (830) 402-5890

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.valant.io/io/Account/LogOn?ReturnUrl=%2fio%2fClient Direct

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
108174TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Counseling Center, PLLC CurrentSince Dec 18, 2022 Accepting new patients
Inmindout Emotional Wellness Center, LLC Past Accepting new patients

Locations

3016 Independence Dr
Ste 105
New Braunfels, TX 78132
Phone (830) 217-3282

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.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1548972904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 INDEPENDENCE DR STE 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324478",
            "telephone_number": "830-402-5890",
            "fax_number": "210-660-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 INDEPENDENCE DR STE 105",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324478",
            "telephone_number": "830-402-5890",
            "fax_number": "210-660-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LAURA",
        "middle_name": "MEGGEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "108174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.valant.io/io/Account/LogOn?ReturnUrl=%2fio%2fClient",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3016 Independence Dr Ste 105",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781324478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.