Into the Gray Counseling and Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTO THE GRAY COUNSELING AND CONSULTING LLC

Practice address

2139 Espey Court
Suite 2
Crofton, MD 21114

Phone

(202) 810-4148

NPI assigned

Apr 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jomo Ekwenzi Gray, PH.D.

Title

Co-Owner

Phone

(240) 621-0215

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melinda E Williams-Gray, PHD

  • Counseling Psychologist
  • Crofton, MD
  • NPI 1043751217
  Medicare reassignment NPD
• Ekwenzi Gray, PH.D.

  • Clinical Psychologist
  • Washington, DC
  • NPI 1053646794
  NPD

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1639758113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 CENTRAL AVE STE 176",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211910",
            "telephone_number": "202-810-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 ESPEY COURT",
            "address_2": "SUITE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "202-810-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTO THE GRAY COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-03",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JOMO",
        "authorized_official_middle_name": "EKWENZI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "240-621-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1043751217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Its Speech Time Therapy Services
• J.B. Roth and Assoc. P.a.
• Kenya Jenkins
• Megan Jenkins, FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Crofton, MD
• Providers in Crofton, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.