Brian Lee Gray, MA MS M DIV RMHCI

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH 13230 Issued in FL

Practice address

1513 E 9TH St
Lynn Haven, FL 32444-2901

Phone

(850) 265-1940

NPI assigned

Aug 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1760738306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 E 9TH ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442901",
            "telephone_number": "850-265-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 E 9TH ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442901",
            "telephone_number": "850-265-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "MA MS M DIV RMHCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "MH 13230",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 13230",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 13230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH 13230",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salma Ghawji, RDN, LDN
• Brian David Gibson, M.D.
• Brittany Evans Gilbert, R.D.
• Michael S Grandy, DMD
• Caitlin Grant, RBT
• John Franklin Gray III, P.T.
• Nathina Devon Grier
• Danitzca Guilford
• Omnia Haddad
• Shiane Hallman, RBT

• Professional Counselor in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.