Active NPI
Jesus Grayson
- Mental Health Counselor
- Turtle Creek, PA
National Provider Identifier
1982083820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 519 Penn Ave
Suite 2
Turtle Creek, PA 15145-2082 - Phone
- (412) 349-0632
- Fax
- (412) 349-0654
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
519 Penn Ave
Suite 2
Turtle Creek, PA 15145-2082
Mailing address
519 Penn Ave
Suite 2
Turtle Creek, PA 15145-2082
Phone (412) 349-0632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1982083820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 PENN AVE",
"address_2": "SUITE 2",
"city": "TURTLE CREEK",
"state": "PA",
"postal_code": "151452082",
"telephone_number": "412-349-0632",
"fax_number": "412-349-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 PENN AVE",
"address_2": "SUITE 2",
"city": "TURTLE CREEK",
"state": "PA",
"postal_code": "151452082",
"telephone_number": "412-349-0632",
"fax_number": "412-349-0654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "JESUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turtle Creek, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.