Individual provider Active NPI

Rebecca Jean Gray, LSCSW

  • Clinical Social Worker
  • Parsons, KS
National Provider Identifier
1891078952
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4585 Issued in KS
Practice address
1730 Belmont Ave
Parsons, KS 67357-4229
Phone
(620) 421-3770
Fax
(620) 421-0665
NPI assigned
Sep 26, 2011
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8087 KS
Clinical Social Worker 1041C0700X 4585 KS Primary

Addresses

Primary practice location

1730 Belmont Ave
Parsons, KS 67357-4229

Mailing address

PO Box 258
Parsons, KS 67357-0258
Phone (620) 421-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160613001392 KS Practitioner - Clinical Social Worker 5698065175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Labette Center for Mental Health Services IncorporatedGroup PAC ID 1254234073, 9 clinicians

Practice addresses (Care Compare)

1730 Belmont Ave
Parsons, KS 67357-4229
Phone (620) 421-3770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8087KSMDSocial Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1891078952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673570258",
            "telephone_number": "620-421-3770",
            "fax_number": "620-421-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BELMONT AVE",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574229",
            "telephone_number": "620-421-3770",
            "fax_number": "620-421-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8087",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, KS

Sources for this page

Verify at the official NPI Registry.