Wren St. Gray, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132834 Issued in CA

Practice address

1415 N Oakes St
Tacoma, WA 98406-7416

Phone

(805) 506-9683

NPI assigned

Feb 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1598220626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1776",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945057776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N OAKES ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984067416",
            "telephone_number": "805-506-9683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 S Bascom Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951242674",
            "country_code": "US",
            "telephone_number": "805-506-9683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. GRAY",
        "first_name": "WREN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-02",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61355544",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Rachel St John, LICSW
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• St Josheph Medical Center
• St Marks Eye Institute Inc
• Genevieve Nicole Canning St-Martin, MS
• St. James Adult Family Home LLC
• Carrie St. John, LICSW
• Kiara St. John, MSW
• Amy Lynn St. Luce, DSW, LCSW
• Jenne Stabbert, D.D.S

• Marriage & Family Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.