Stacey Gray, CPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CP1185 Issued in NV

Practice address

6628 Sky Pointe Dr Ste 115
Las Vegas, NV 89131-4071

Phone

(702) 620-9354

Fax

(702) 935-8945

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Kasia Caldwell, LCSW, PLLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1063015949
  NPD

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1891194585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 SUNGOLD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348890",
            "telephone_number": "702-569-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 SKY POINTE DR STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314071",
            "telephone_number": "702-620-9354",
            "fax_number": "702-935-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "STACEY",
        "credential": "CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP1185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CI0118",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rontrice Gray
• Shani Gray
• Shannon Gray
• Shannon Renae Gray
• Sheila Gray
• Starshanae Gray
• Tiara Gray
• Todd Gray
• Tomicka Gray
• Uyneka Gray

• Professional Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.