Kathy Gray

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1120 E Main St Ste 24
Philadelphia, MS 39350-2300

Phone

(601) 781-8677

NPI assigned

Jan 16, 2009

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Central Mississippi Health Care IncGroup PAC ID 0941103717, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4
• Direct secure messaging: kathy.gray.1@17349.direct.athenahealth.com

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.

• East Central Mississippi Health Care, Inc

  dba Walnut Grove Clinic

  • Federally Qualified Health Center (FQHC)
  • Walnut Grove, MS
  • NPI 1255387619
  Medicare reassignment Care Compare group NPD
• East Central Mississippi Health Care Inc

  dba Sebastopol Clinic

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, MS
  • NPI 1699721209
  NPD
• East Central Mississippi Health Care, Inc.

  dba Newton Health Care

  • Federally Qualified Health Center (FQHC)
  • Newton, MS
  • NPI 1184090482
  NPD
• Intouch Psychological Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
  • NPI 1649629304
  NPD
• Intouch Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
  • NPI 1245717685
  NPD (past)

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952548646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST",
            "address_2": "SUITE 24",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350",
            "telephone_number": "601-781-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST STE 24",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502300",
            "telephone_number": "601-781-8677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4715 24th Pl",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393051686",
            "country_code": "US",
            "telephone_number": "601-696-6736",
            "fax_number": "601-696-6736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Riley Fontan, CNP
• Julie Gaines Joiner
• Adrianna Michelle Gardner, FNP-C
• Donald Grant Guild, MD
• Autumn Gurry, PHARMD
• David Wesley Haggard
• Hancock Chiropractic Clinic, Inc.
• Scott Anthony Hancock, D.C.

• Mental Health Counselor in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.