Active NPI
Ingrid Britt Gray, LPC
- Counselor
- Carrollton, TX
National Provider Identifier
1811032576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 60412
- Practice address
- 3620 North Josey Lane Ste 114
Carrollton, TX 75007-3157 - Phone
- (972) 394-2137
- Fax
- (972) 492-7865
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 60412 | TX | Primary |
| Counselor | 101Y00000X | 6585 | NC |
Addresses
Primary practice location
3620 North Josey Lane Ste 114
Carrollton, TX 75007-3157
Mailing address
5005 Coral Creek Drive
Fort Worth, TX 76135-1832
Phone (817) 238-6618
Other names 1
- Ms. Ingrid Britt Henrichsen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60412 | TX | MD | Counselor |
| 6585 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811032576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 CORAL CREEK DRIVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761351832",
"telephone_number": "817-238-6618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 NORTH JOSEY LANE STE 114",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750073157",
"telephone_number": "972-394-2137",
"fax_number": "972-492-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "INGRID",
"middle_name": "BRITT",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "60412",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "6585",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "INGRID",
"last_name": "HENRICHSEN",
"middle_name": "BRITT",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.