Individual provider Active NPI

Aja Gray, LMHC

  • Mental Health Counselor
  • Plainfield, IN
National Provider Identifier
1881403954
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39005267A Issued in IN
Practice address
900 Southfield Dr
Plainfield, IN 46168-2464
Phone
(317) 837-9719
Fax
(317) 458-1743
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39005267A IN Primary

Addresses

Primary practice location

900 Southfield Dr
Plainfield, IN 46168-2464

Mailing address

620 8TH Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108001535 IN Practitioner - Mental Health Counselor 9931637790 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Aug 11, 2025 Accepting new patients
Hamilton Center, Inc. CurrentSince Dec 18, 2024 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Hamilton Center Inc. CurrentSince Dec 18, 2024 Accepting new patients

Locations

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

1525 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 322-4087

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1881403954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042771",
            "telephone_number": "812-231-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTHFIELD DR",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682464",
            "telephone_number": "317-837-9719",
            "fax_number": "317-458-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AJA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005267A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.