Kelsey Ann Gray, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

411 Route 6a
Building 5, Unit C
Yarmouth Port, MA 02675-1843

Phone

(508) 280-8385

NPI assigned

Mar 5, 2007

Sex

Female

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Omni Psychotherapy Associates LLCGroup PAC ID 0840625885, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Omni Psychotherapy Associates LLC

  • Clinical Social Worker
  • Centerville, MA
  • NPI 1558908830

  MA

  Medicare reassignment Care Compare group NPD
• Lisa J Perkins Psychotherapy

  • Clinical Social Worker
  • Yarmouth Port, MA
  • NPI 1700355492
  NPD (past)
• Melissa Hyer-Mitchell Psychotherapy LLC

  • Mental Health Counselor
  • Yarmouth Port, MA
  • NPI 1619664901
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1598894529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSBY RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322570",
            "telephone_number": "508-280-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ROUTE 6A",
            "address_2": "BUILDING 5, UNIT C",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751843",
            "telephone_number": "508-280-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Garb, M.D.
• Gina Marie Gargano
• Gary Forrister M.D. P.C.
• William Arthur Golden, MD
• Tanya Grady
• Melanie Greenan, MD
• Jonathan Andrew Greenberg
• Vincent Charles Guardia, MED
• Jessica Lee Gwinn
• Joanne L. Hager, PH.D.

• All providers in Yarmouth Port, MA
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.