Individual provider Active NPI

Melissa Gray, M.A.

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1881915783
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60126154 Issued in WA
Practice address
325 S University Rd Ste 202
Spokane Valley, WA 99206-5227
Phone
(509) 385-0291
Fax
(509) 534-9385
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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 MC60126154 WA Primary

Addresses

Primary practice location

325 S University Rd Ste 202
Spokane Valley, WA 99206-5227

Mailing address

325 S University Rd Ste 202
Spokane Valley, WA 99206-5227
Phone (509) 385-0291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240522001480 WA Practitioner - Mental Health Counselor 6103264734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 S Freya St Red Flag
Building 101a
Spokane, WA 99202-4879
Phone (509) 385-0291

104 S Freya St Red Flag Building
101A
Spokane, WA 99202-4879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60126154WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa a Gray Ma NCC PS Mental Health CurrentSince Feb 27, 2024 Accepting new patients

Locations

104 S Freya St
Ste 101A
Spokane, WA 99202
Phone (509) 385-0291

325 S University Rd
Ste 202
Spokane Valley, WA 99206
Phone (509) 534-9380

Organizations & group practices 1

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1881915783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065227",
            "telephone_number": "509-385-0291",
            "fax_number": "509-534-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065227",
            "telephone_number": "509-385-0291",
            "fax_number": "509-534-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MELISSA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60126154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.