NPIMap

Organization Active NPI

Ellen Gray Psychotherapy & Counseling PLLC

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1700181377
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003409 Issued in NC
Legal business name
ELLEN GRAY PSYCHOTHERAPY & COUNSELING PLLC
Practice address
1829 E Franklin St
Ste 600
Chapel Hill, NC 27514-5861
Phone
(919) 309-0593
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Ellen Gray, PHD, LCSWNPI 1104938000
Title
Owner
Phone
(919) 309-0593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C003409 NC Primary

Addresses

Primary practice location

1829 E Franklin St
Ste 600
Chapel Hill, NC 27514-5861

Mailing address

1829 E Franklin St
Ste 600
Chapel Hill, NC 27514-5861

National Provider Directory

National Provider Directory

Locations

1829 E Franklin St
Ste 600
Chapel Hill, NC 27514
Phone (919) 309-0593

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1700181377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "address_2": "STE 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST",
            "address_2": "STE 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145861",
            "telephone_number": "919-309-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN GRAY PSYCHOTHERAPY & COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-309-0593",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.