Pennie Marie Gray, CNS

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN187429 Issued in OH

Practice address

18660 East Bagley Road
Suite 405 Phase II
Middleburg Heights, OH 44130-8492

Phone

(440) 243-0530

Fax

(440) 243-3351

NPI assigned

Oct 4, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Nurse Practitioners LLC

  • Licensed Practical Nurse
  • Middleburg Heights, OH
  • NPI 1609190321
  NPD (past)
• Renaissance Counseling Service Inc.

  • Psychiatry Physician
  • Brecksville, OH
  • NPI 1780779793
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821183831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 EAST BAGLEY ROAD",
            "address_2": "SUITE 405 PHASE II",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308492",
            "telephone_number": "440-243-0530",
            "fax_number": "440-243-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 EAST BAGLEY ROAD",
            "address_2": "SUITE 405 PHASE II",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308492",
            "telephone_number": "440-243-0530",
            "fax_number": "440-243-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PENNIE",
        "middle_name": "MARIE",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN187429",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "NS02451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agripino C Gonzales Jr., MD
• Autumn Goodfriend, MSW, LSW
• Jennifer Lisa Gosnell
• Nadia Luisa Grabowski
• Hailey Rae Grant, MMS, PA-C
• David Michael Graygo, MPT
• Olga Grech, DO
• Jason Paul Greene, P.T.A.
• Hillary Greer, D.P.M.
• Karleen Ann Gregg

• Adult Psychiatric/Mental Health Registered Nurse in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.