Jarrod Lawrence Gray, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4576 Issued in NC

Practice address

824 Gum Branch Rd
Suite B
Jacksonville, NC 28540-6269

Phone

(910) 381-0347

Fax

(910) 355-2427

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Jarrod L. Gray, LPC, PC

  • Professional Counselor
  • Jacksonville, NC
  • NPI 1417071523
  NPD (past) Authorized official
• Oceanside Counseling LPC PC

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1174076780
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861414682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7736 MARYMOUNT DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118701",
            "telephone_number": "910-381-0347",
            "fax_number": "910-355-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GUM BRANCH RD",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406269",
            "telephone_number": "910-381-0347",
            "fax_number": "910-355-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JARROD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Monique Graham, LCAS-A
• Christina Granger
• Cynthia Dixon Grant, FNP-C
• Linda Crystal Grant
• Patricia Grant
• Ladina Gray
• Greater Visions Healthcare Services, Inc.
• Ebony L Green
• Jennifer Renee Green, AGNP-C
• Joe Anna Green, LCSW

• Professional Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Professional Counselor in North Carolina

• 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.

Verify at the official NPI Registry.