Active NPI
Candace L Gray, MS LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1851455083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCH6915
- Practice address
- 4514 Travis St
Dallas, TX 75205-4112 - Phone
- (214) 526-0742
- NPI assigned
- Dec 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCH6915 | TX | Primary |
Addresses
Primary practice location
4514 Travis St
Dallas, TX 75205-4112
Mailing address
PO Box 835840
Richardson, TX 75083-5840
Phone (972) 680-1577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5378LC | Other | TX | BLUE CROSS BLUE SHIELD |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCH6915 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851455083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 835840",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750835840",
"telephone_number": "972-680-1577",
"fax_number": "972-690-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 TRAVIS ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752054112",
"telephone_number": "214-526-0742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CANDACE",
"middle_name": "L",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "LPCH6915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5378LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, 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.