Active NPI
Amber Deneen Gray, PHD, DBH, CDVC, CVIS
- Community/Behavioral Health Agency
- Lake Elsinore, CA
National Provider Identifier
1760670350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- N37-048-4108
- Practice address
- 52997 Carrousel CT
Lake Elsinore, CA 92532-7511 - Phone
- (951) 382-4841
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 28400 | CA | |
| Prevention Professional | 405300000X | N37-48-4108 | CA | |
| Prevention Professional | 405300000X | N37-048-4108 | CA | |
| Community/Behavioral Health Agency | 251S00000X | N37-048-4108 | CA | Primary |
| Health Service Clinic/Center | 261QH0100X | 025255 | CA | |
| Research Clinic/Center | 261QR1100X | 025255 | CA | |
| Rural Health Clinic/Center | 261QR1300X | 025255 | CA | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | N37-048-4108 | CA | |
| Home Health Aide | 374U00000X | 28400 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 28400 | CA | |
| Professional Counselor | 101YP2500X | N37-048-4108 | CA | |
| Forensic Psychologist | 103TF0200X | 28400 | CA | |
| Community Health Worker | 172V00000X | 025255 | CA | |
| Health Educator | 174H00000X | 025255 | CA | |
| Case Management Agency | 251B00000X | CA |
Addresses
Primary practice location
52997 Carrousel CT
Lake Elsinore, CA 92532-7511
Mailing address
52997 Carrousel CT
Lake Elsinore, CA 92532-7511
Phone (951) 382-4841
Other practice location 1
52997 Carrousel Ct
Lake Elsinore, CA 92532-7511
Phone (909) 419-3311
Other practice location 2
52997 Carrousel Ct
Lake Elsinore, CA 92532-7511
Phone (909) 419-3311
Other practice location 3
52997 Carrousel Ct
Lake Elsinore, CA 92532-7511
Phone (909) 419-3311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N37-048-4108 | Other | CA | NATIONAL ORGANIZATION FOR VICTIM ASSISTANCE |
| 28400 | Other | CA | NATIONAL ASSOCIATION OF FORENSIC COUNSELORS |
| 67040030471980 | Other | IOM4 PROFESSIONAL DEVELOPMENT CONSULTATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28400 | CA | MD | Clinical Social Worker |
| 025255 | CA | MD | Health Service Clinic/Center |
| N37-048-4108 | CA | MD | Emotionally Disturbed Childrens' Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1760670350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52997 CARROUSEL CT",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925327511",
"telephone_number": "951-382-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52997 CARROUSEL CT",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925327511",
"telephone_number": "951-382-4841"
}
],
"practiceLocations": [
{
"address_1": "52997 Carrousel Ct",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925327511",
"country_code": "US",
"telephone_number": "909-419-3311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52997 Carrousel Ct",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925327511",
"country_code": "US",
"telephone_number": "909-419-3311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52997 Carrousel Ct",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925327511",
"country_code": "US",
"telephone_number": "909-419-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "AMBER",
"middle_name": "DENEEN",
"name_prefix": "Dr.",
"credential": "PHD, DBH, CDVC, CVIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "CA",
"license": "28400",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CA",
"license": "N37-48-4108",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CA",
"license": "N37-048-4108",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "N37-048-4108",
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "025255",
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": "CA",
"license": "025255",
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "CA",
"license": "025255",
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "CA",
"license": "N37-048-4108",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CA",
"license": "28400",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "28400",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "N37-048-4108",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "28400",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "025255",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "025255",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ORGANIZATION FOR VICTIM ASSISTANCE",
"identifier": "N37-048-4108",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ASSOCIATION OF FORENSIC COUNSELORS",
"identifier": "28400",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOM4 PROFESSIONAL DEVELOPMENT CONSULTATION",
"identifier": "67040030471980",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.