Amber Ray Gray

Individual provider Active NPI Marriage & Family Therapist · Crestline, CA

NPI 1992523153 · NPPES record last updated Jul 1, 2025

Key facts

NPI
1992523153
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
340 Ca-Hwy 138
Crestline, CA 92325
Phone
(909) 336-3330
NPI assigned
Sep 27, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Counseling & Training, Inc. Student in an Organized Health Care Education/Training Program Current
since Sep 29, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

340 Ca-Hwy 138
Crestline, CA 92325

Mailing address

PO Box 6300
Crestline, CA 92325-6300
Phone (909) 336-3330

Other names

  • Amber Ray Tighe Former name

Other providers in Crestline, CA

All providers in Crestline, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.