LISA GRAY (NPI# 1205242161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205242161 |
| Entity Type | Individual |
| Full Name | LISA GRAY |
| Credential | LPC |
| Practice Address |
2885 W Rick Dr Port Huron MI 48060 |
| Mailing Address |
2885 W Rick Dr Port Huron MI 48060-6532 |
| Practice Telephone | 8103008404 |
| Mailing Telephone | 8103008404 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401014338 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 Superior St, Suite A, Port Huron, MI 480603771 | 8109661972 | 8109661973 |
| 830 Saint Clair St Apt E, Grosse Pointe, MI 482302112 | 8103008404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030045 | Lisa Gray | Social Worker | 2 Center St Apt 498, Newark, NJ 07102-4563 | 2019-05-31 |
| 1992228852 | Lisa Michelle Gray | Marriage & Family Therapist | 1062 Murrieta Blvd, Livermore, CA 94550-4111 | 2017-07-24 |
| 1437531803 | Lisa Gray | Marriage & Family Therapist | 3841 Pillsbury Ave S, Minneapolis, MN 55409-1222 | 2015-06-22 |
| 1457788978 | Lisa Marie Gray | Pharmacist | 276 Woodsfield Ct, Powell, OH 43065-8906 | 2013-09-29 |
| 1053755751 | Lisa B Gray | Skilled Nursing Facility | 13550 S Outer Hwy Forty, Chesterfield, MO 63017 | 2013-04-24 |
| 1649411539 | Lisa Marie Gray | Surgery | 404 Hazen, Suite 101, Paw Paw, MI 49079-1040 | 2009-03-23 |
| 1336217538 | Lisa Jean Gray | Pharmacist | 121 Massachussetts Ave, Arlington, MA 02474 | 2006-12-04 |
| 1871105346 | Lisa Gray | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-08-17 |
| 1528683570 | Lisa Gray | Massage Therapist | 20119 S Prairie Rd E, Bonney Lake, WA 98391-7935 | 2020-06-15 |
| 1689204489 | Lisa Gray | Behavior Technician | 5834 Adenmoor Ave, Lakewood, CA 90713-1002 | 2020-01-21 |
| Street Address |
2885 W RICK DR |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| 1245566702 | David Burnham I | Adult Companion | 3111 Electric Ave., Port Huron, MI 48060 | 2009-10-19 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801929138 | Anne Rosemarie Penn | Counselor | 824 Huron Ave, Port Huron, MI 48060-3705 | 2007-03-14 |
| 1922199769 | Virginia Mary Towe-terry | Counselor | 1406 8th St., Port Huron, MI 48060 | 2006-09-27 |
| 1952413312 | Kari Ann Kreger | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2006-08-31 |
| 1154887164 | Jordan Alyssa Fitzpatrick | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2019-02-14 |
| 1609327881 | Dina Louise Campbell | Counselor | 805 Superior St, Port Huron, MI 48060-3771 | 2016-10-22 |
| 1891150850 | Jennifer Marie Polio | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2015-12-17 |
| 1508249913 | Rebecca Mercurio | Counselor | 520 Superior St, Port Huron, MI 48060-3838 | 2015-07-02 |
| 1811399728 | Kurtis Kirkpatrick | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2014-09-23 |
| 1114336500 | Rachel Krueger | Counselor | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2014-08-11 |
| 1053738724 | Stacey Vatter | Counselor | 1001 Military St, Port Huron, MI 48060-5416 | 2014-03-19 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on LISA GRAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.