Samantha Gray

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010395 Issued in NY

Practice address

100 Niagara St
Tonawanda, NY 14150-1104

Phone

(716) 831-1850

NPI assigned

May 18, 2020

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 NY

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizon Health Services IncGroup PAC ID 5698689925, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Horizon Health Services Inc

  • Community/Behavioral Health Agency
  • Getzville, NY
  • NPI 1043387152
  Medicare reassignment Care Compare group NPD
• Samantha Gray Therapy & Professional Consultation

  • Community/Behavioral Health Agency
  • Snyder, NY
  • NPI 1932722477
  NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1699397224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DODGE RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681205",
            "telephone_number": "716-831-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NIAGARA ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141501104",
            "telephone_number": "716-831-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4511 Harlem Rd",
            "address_purpose": "LOCATION",
            "city": "Snyder",
            "state": "NY",
            "postal_code": "142263803",
            "country_code": "US",
            "telephone_number": "716-229-5766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Gowen
• Mary Graf
• Rebecca Lynn Graham, FNP-BC
• Kimberly Ann Grande, MS
• Mary Gray, RN
• Green Pastures Still Waters Massage Therapy & Spa
• Roseann Green
• Patrick Greene
• Morgan Gregg
• Dionna Griffin

• Mental Health Counselor in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.