MRS. CONNIE REGINA GRAY (NPI# 1285758201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285758201 |
Entity Type | Individual |
Full Name | MRS. CONNIE REGINA GRAY |
Other Name | MRS. CONNIE REGINA GRAY |
Credential | LPC |
Practice Address |
700 Ne 87th Ave Ste 270 Vancouver WA 98664 |
Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-4896 |
Practice Telephone | 3608822778 |
Practice Fax Number | 3606041764 |
Mailing Telephone | 3608822778 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2018-11-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60805339 | WA | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
1844 | OK | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
307 S Indian Rd, Idabel, OK 747455462 | 5802865403 | 5802861060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164665717 | Connie Marie Gray | Speech-Language Pathologist | 2204 A St, Forest Grove, OR 97116-1624 | 2009-04-13 |
1679174460 | Connie Gray | Behavior Technician | 3771 S A St, Richmond, IN 47374-6053 | 2020-11-06 |
1407076839 | Connie Michelle Gray | Occupational Therapist | 83825 Highway 9, Ashland, AL 36251 | 2007-04-26 |
Street Address |
700 NE 87TH AVE STE 270 |
City | VANCOUVER |
State | WA |
Zip Code | 98664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073779831 | Binaya Khanal | Internal Medicine | 700 Ne 87th Ave Ste 270, Vancouver, WA 98664 | 2008-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
Find all providers in zip 98664 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463878 | Andrew Accornero | Counselor | 108 Se 124th Ave Ste 17, Vancouver, WA 98684-6015 | 2020-10-08 |
1962024703 | Sarah Elizabeth Wahl | Counselor | 10919 Ne Sherwood Dr, Vancouver, WA 98686-4324 | 2020-05-14 |
1922632900 | Jeremy Houtsma Counseling LLC | Counselor | 601 Main St Ste 309, Vancouver, WA 98660-3404 | 2020-02-27 |
1194367631 | Ashley Amber Thomas | Counselor | 5732 Ne 131st Pl, Vancouver, WA 98682-2277 | 2019-10-16 |
1164073698 | Michelle L Drake | Counselor | 9606 Ne 19th St, Vancouver, WA 98664-2983 | 2019-09-25 |
1306496260 | Shaina Lee Heimerl | Counselor | 4317 Ne Thurston Way Ste 11, Vancouver, WA 98662-6658 | 2019-09-12 |
1205497013 | Natasha Marie Medina | Counselor | 1104 Main St Ste M105, Vancouver, WA 98660-2969 | 2019-06-23 |
1295395267 | Nicola R Cook | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-06-20 |
1720643851 | Christine Yoshida | Counselor | 10000 Ne 7th Ave # 100-d, Vancouver, WA 98685-4599 | 2019-05-03 |
1679035364 | Breanne Alina Valrance | Counselor | 6601 Ne 71st Ave, Vancouver, WA 98661-1945 | 2019-04-02 |
Find all providers in VANCOUVER |
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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.