Edgar-Gray Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EDGAR-GRAY COUNSELING, PLLC

Practice address

2909 King St Ste a
Jonesboro, AR 72401-5322

Phone

(870) 351-5020

Fax

(870) 382-3025

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Stanford James Gray, LCSWNPI 1528002078

Title

Therapist/Owner

Phone

(870) 351-5020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, FL2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanford J Gray, LCSW

  • Mental Health Counselor
  • Jonesboro, AR
  • NPI 1528002078

  FL

  Medicare reassignment Care Compare group NPD Authorized official
• Erin E Denton, LCSW, LADAC, EMDR

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1669499240
  Medicare reassignment Care Compare group NPD
• Michelle Lassonde Hix, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1922027655
  Medicare reassignment Care Compare group NPD
• Carlissa May Bowen, LPC

  • Professional Counselor
  • Jonesboro, AR
  • NPI 1730356312
  Medicare reassignment Care Compare group
• Rebbecca Ann Wellborn, LCSW

  • Clinical Social Worker
  • Pocahontas, AR
  • NPI 1134328131
  Medicare reassignment NPD
• Carissa Dawn Edgar, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1356618623
  Medicare reassignment

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552176000000",
    "number": "1972010106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 CARRIAGE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049057",
            "telephone_number": "870-351-5020",
            "fax_number": "870-382-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 KING ST STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015322",
            "telephone_number": "870-351-5020",
            "fax_number": "870-382-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR-GRAY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2019-03-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "870-351-5020",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Echeverria, QBHP
• Lashundra Nicole Eckard, LPC
• Kylie Eckerd
• Christine Eddinger, LPC
• Ashlyn Eddy
• Carissa Dawn Edgar, LCSW
• Edison Brain & Spine Surgeons, PLLC
• Shelby K. Edmondson, M.S. CF-SLP
• Angela Edwards, M.D.
• Carl Brady Edwards, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.