Fredianne Gray, LSWAIC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5108 196TH St SW Ste 350
C/O RXDX Medical Billing Services LLC, Ste 310
Lynnwood, WA 98036-6169

Phone

(425) 582-2041

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 WA

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

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Mental Health LLC

  • Mental Health Counselor
  • Lynnwood, WA
  • NPI 1255987368
  Medicare reassignment NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1659052470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 350",
            "address_2": "C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 350",
            "address_2": "C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366169",
            "telephone_number": "425-582-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "FREDIANNE",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sejal Parekh Graber, ARNP
• Grace Hsiao Wu DMD, MPH, PLLC (Alderwood Endodontics)
• Joy Lynne Graves, M.S., LMFT
• Melissa Catherine Graves, LMT
• Crystal Gray, PH.D.
• Patrick A Gray, MED, LMHC
• Lindsey Greeling, PT, DPT
• Green Day Clinic
• Aleksey Brooke Green
• Christopher Isaiah Green, L.M.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.