Gracious Bay Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRACIOUS BAY COUNSELING PLLC

Practice address

2 Columbia Rd Ste 11
Pembroke, MA 02359-1842

Phone

(781) 630-1177

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Murray, OWNER

Title

Ceo

Phone

(781) 630-1177

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laura Lydiard, LMHC

  • Counselor
  • Pembroke, MA
  • NPI 1518301829
  NPD (past)

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1972376846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLINTON TER",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023641330",
            "telephone_number": "781-630-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA RD STE 11",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591842",
            "telephone_number": "781-630-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS BAY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-630-1177",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel William Glynn
• Melissa Marie Godfrey, RN
• Juliane Gregory Goicoechea, MS, RD, LDN
• Rosemarie Golash
• Michael David Gomes, LICSW
• Naomi Grant
• Samantha Tierney Grasso
• Gray-Fin Consulting
• Rebecca E. Graziano, NP
• Khary KJ Green

• Mental Health Counselor in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.