Holly R Gray, M.S.
Individual provider Active NPI Mental Health Counselor · Peyton, CO
NPI 1689864670 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1689864670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 7495 McLaughlin Rd Ste 200
Peyton, CO 80831-4714 - Phone
- (719) 332-3394
- Fax
- (719) 886-4793
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7495 McLaughlin Rd
Suite 200
Peyton, CO 80831-4714
Phone (719) 332-3394
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212000465 | CO | Practitioner - Marriage and Family Therapist | 0840633434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marriage & Family Therapy Services Inc | Counselor | Current |
Accepting new patients |
Locations
7495 McLaughlin Rd
Ste 200
Peyton, CO 80831
Phone (719) 332-3394
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | |||
| Counseling Psychologist | 103TC1900X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
7495 McLaughlin Rd Ste 200
Peyton, CO 80831-4714
Mailing address
11417 Cranston Dr
Peyton, CO 80831-6869
Phone (719) 886-4708
Other names
- Holly R Gray
Other providers in Peyton, CO
- Benjamin Gaines
- Deborah Anne Galaska
- Ellen Marie Gasper
- Ginger K. Spence, LPC LLC
- Good Life Chiropractic LLC
- Kassi Richele Greer
- Michael D Grubbs
- Kenadi Miranda Grumski
- John Charles Haeseker
- Sylvia Harrington
All providers in Peyton, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.