Individual provider Active NPI

Ronda C. Gray, CRC, CMS-CHT

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1770855298
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
16573 Issued in OK
Practice address
2919 NW 122ND St
Ste. a
Oklahoma City, OK 73120-1956
Phone
(405) 831-3963
Fax
(405) 748-5507
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 16573 OK Primary

Addresses

Primary practice location

2919 NW 122ND St
Ste. a
Oklahoma City, OK 73120-1956

Mailing address

2919 NW 122ND St
Ste. a
Oklahoma City, OK 73120-1956
Phone (405) 831-3963

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

State licenses

LicenseStateTypeSpecialty
16573OKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1770855298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 NW 122ND ST",
            "address_2": "STE. A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201956",
            "telephone_number": "405-831-3963",
            "fax_number": "405-748-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 NW 122ND ST",
            "address_2": "STE. A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731201956",
            "telephone_number": "405-831-3963",
            "fax_number": "405-748-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RONDA",
        "middle_name": "C.",
        "credential": "CRC, CMS-CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "16573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.