Organization Active NPI

Lacey Gray Therapy & Wellness, LLC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1720871379
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LACEY GRAY THERAPY & WELLNESS, LLC
Practice address
1010 Land Creek CV Ste 150
Austin, TX 78746-7652
Phone
(512) 981-9888
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Lacey GrayNPI 1659721553
Title
Owner
Phone
(512) 981-9888

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1010 Land Creek CV Ste 150
Austin, TX 78746-7652

Mailing address

1010 Land Creek CV Ste 150
Austin, TX 78746-7652
Phone (512) 981-9888

National Provider Directory

National Provider Directory

Locations

1010 Land Creek Cv
Ste 150
Austin, TX 78746
Phone (210) 903-8215

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1720871379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAND CREEK CV STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467652",
            "telephone_number": "512-981-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAND CREEK CV STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467652",
            "telephone_number": "512-981-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY GRAY THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-981-9888"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.