Kelsey Rae Gray, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10052 Issued in OK

Practice address

1601 N Kickapoo Ave Ste 900
Shawnee, OK 74804-4313

Phone

(405) 585-6413

NPI assigned

Oct 11, 2018

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Rae Linsenmeyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bison Family Therapy Institute, PLLC

  • Marriage & Family Therapist
  • Shawnee, OK
  • NPI 1023453602
  NPD

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1740755271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N MINNESOTA AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043024",
            "telephone_number": "405-226-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N KICKAPOO AVE STE 900",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044313",
            "telephone_number": "405-585-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Main St",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734016326",
            "country_code": "US",
            "telephone_number": "580-224-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KELSEY",
        "middle_name": "RAE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "10052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "LINSENMEYER",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gracious Freedom Counseling Services PLLC
• Hayley Graft
• Dayna Kathleen Grandstaff
• Shaun Robert Grange
• Gregory Grant, MD
• Shanna Rae Gray, RPT
• Linda Green
• Malita Elice Green, B.A.
• Zachary Bret Green, APRN, FNP-C
• Darin Latroy Greene

• Marriage & Family Therapist in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.