Individual provider Active NPI

Laura E Gray, LPC, MSN

  • Professional Counselor
  • Wauwatosa, WI
National Provider Identifier
1760508113
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4852-125 Issued in WI
Practice address
2600 N Mayfair Rd Ste 650
Wauwatosa, WI 53226-1322
Phone
(414) 771-9304
Fax
(414) 771-9543
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4852-125 WI Primary

Addresses

Primary practice location

2600 N Mayfair Rd Ste 650
Wauwatosa, WI 53226-1322

Mailing address

2600 N Mayfair Rd Ste 650
Wauwatosa, WI 53226-1322
Phone (414) 771-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20240219000425 WI Practitioner - Mental Health Counselor 2466896477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4852-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Counseling and Consulting Clinic, S.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2600 N Mayfair Rd
Ste 650
Wauwatosa, WI 53226
Phone (414) 771-9304

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1760508113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 650",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261322",
            "telephone_number": "414-771-9304",
            "fax_number": "414-771-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 650",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261322",
            "telephone_number": "414-771-9304",
            "fax_number": "414-771-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LAURA",
        "middle_name": "E",
        "credential": "LPC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4852-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.