Patrick A Gray, MED, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60456605 Issued in WA

Practice address

19217 36TH Ave W Ste 215
Lynnwood, WA 98036-5754

Phone

(425) 314-7618

Fax

(425) 412-3960

NPI assigned

May 19, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1558772079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W STE 215",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365754",
            "telephone_number": "425-314-7618",
            "fax_number": "425-412-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W STE 215",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365754",
            "telephone_number": "425-314-7618",
            "fax_number": "425-412-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MED, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60456605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Hsiao Wu DMD, MPH, PLLC
• Joy Lynne Graves, M.S., LMFT
• Melissa Catherine Graves, LMT
• Crystal Gray, PH.D.
• Fredianne Gray, LSWAIC
• Lindsey Greeling, PT, DPT
• Green Day Clinic
• Aleksey Brooke Green
• Christopher Isaiah Green, L.M.P.
• Kelley Lorraine Green, MSW, LICSW

• Mental Health Counselor in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.