Active NPI
Christopher Eugene Gray, EDS,LPC,NBCC
- Professional Counselor
- Grovetown, GA
National Provider Identifier
1881816973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC002214
- Practice address
- 2537 Queens CT
Grovetown, GA 30813-4519 - Phone
- (706) 863-1088
- NPI assigned
- May 2, 2007
- Sex
- Male
- 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 | LPC002214 | GA | Primary |
Addresses
Primary practice location
2537 Queens CT
Grovetown, GA 30813-4519
Mailing address
2537 Queens CT
Grovetown, GA 30813-4519
Phone (706) 863-1088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC002214 | Other | GA | PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| LPC002214 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881816973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2537 QUEENS CT",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308134519",
"telephone_number": "706-863-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2537 QUEENS CT",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308134519",
"telephone_number": "706-863-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CHRISTOPHER",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "EDS,LPC,NBCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELOR",
"identifier": "LPC002214",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grovetown, GA
- Georgia Dept. of Corrections
- Jacqueline Corinne Gibson, CMA-CPT-GANOTARY
- James Alexander Gill, CRNA
- Josi Margarite Giovinazzo
- Candyce Graham
- Shontanae Imani Green, MS, LPC, NCC
- Krysta Noelle Greenleaf, PHARM.D
- Dorothy Ann Gresham, PHD, NP, CNOR
- Seth Blaine Grover, PT
- Grovetown Chiropractic Incorporated
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.