Active NPI
Gray Counseling Services PLLC
- Clinical Social Worker
- Calhoun, KY
National Provider Identifier
1972970846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3795
- Legal business name
- GRAY COUNSELING SERVICES PLLC
- Practice address
- 180 Main St
Calhoun, KY 42327 - Phone
- (270) 273-3050
- Fax
- (270) 273-3052
- NPI assigned
- Aug 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annie Gray-Dalton, LCSW
- Title
- Owner/Therapist
- Phone
- (270) 273-3050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3795 | KY | Primary |
Addresses
Primary practice location
180 Main St
Calhoun, KY 42327
Mailing address
PO Box 654
Calhoun, KY 42327-0654
Phone (270) 273-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150909000424 | KY | Part B Supplier - Clinic/Group Practice | 8022324995 |
Receives reassigned benefits from 1 practitioner Practice locations: Calhoun, KY |
National Provider Directory
National Provider DirectoryLocations
180 Main St
Calhoun, KY 42327
Phone (270) 270-3050
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440633600000",
"number": "1972970846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 654",
"city": "CALHOUN",
"state": "KY",
"postal_code": "423270654",
"telephone_number": "270-273-3050",
"fax_number": "270-273-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 MAIN ST",
"city": "CALHOUN",
"state": "KY",
"postal_code": "42327",
"telephone_number": "270-273-3050",
"fax_number": "270-273-3052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAY COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A",
"authorized_official_last_name": "GRAY-DALTON",
"authorized_official_first_name": "ANNIE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "270-273-3050",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calhoun, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.