Dr Julie Gray Lightedpathways Psychology Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

28196 Issued in CA

Legal business name

DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC

Practice address

18411 Crenshaw Blvd Ste 260
Torrance, CA 90504-5054

Phone

(847) 212-3564

Fax

(424) 340-2359

NPI assigned

Jul 11, 2018

Last updated

Jul 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Julie Ann Gray, PSYD, LCSWNPI 1306947262

Title

Owner

Phone

(847) 212-3564

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Gray, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1306947262
  NPD Authorized official

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1700362936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CRENSHAW BLVD STE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045054",
            "telephone_number": "847-212-3564",
            "fax_number": "424-340-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CRENSHAW BLVD STE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045054",
            "telephone_number": "847-212-3564",
            "fax_number": "424-340-2359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S Beverly Dr",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902124426",
            "country_code": "US",
            "telephone_number": "847-212-3564",
            "fax_number": "424-340-2359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR JULIE GRAY LIGHTEDPATHWAYS PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-212-3564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "28196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11890011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Torrance, CA
• Providers in Torrance, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.