MS. STACY DIANE GRAY (NPI# 1396796231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396796231 |
| Entity Type | Individual |
| Full Name | MS. STACY DIANE GRAY |
| Credential | LMHC |
| Practice Address |
2175 Lexington Blvd Building 4 Washington IA 52353-9100 |
| Practice Telephone | 3196536161 |
| Mailing Telephone | 3196536161 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00715 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720119837 | Stacy Lynn Gray | Marriage & Family Therapist | 144 N Mountain View Ave, San Bernardino, CA 92408-1015 | 2007-03-08 |
| 1811909120 | Stacy Chapman Gray | Chiropractor | 4908 Professional Ct, Raleigh, NC 27609-4914 | 2006-08-13 |
| 1114304862 | Stacy Gray | Registered Nurse | 620 S Laurel St, Pine Bluff, AR 71601-4859 | 2015-05-01 |
| 1184736225 | Stacy Wang Gray | Internal Medicine | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2006-08-31 |
| Street Address |
2175 LEXINGTON BLVD BUILDING 4 |
| City | WASHINGTON |
| State | IA |
| Zip Code | 52353-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730130865 | Jeanette Louise Miller | Counselor | 2175 Lexington Blvd, Building 4, Washington, IA 52353-9100 | 2006-05-13 |
| 1396297636 | Lori Nordstrom | Registered Nurse | 2175 Lexington Blvd, Bldg 4, Washington, IA 52353-9108 | 2016-11-03 |
| 1659731289 | Sonya E Libe | Social Worker | 2175 Lexington Blvd, Bldg 2, Washington, IA 52353-9108 | 2016-02-24 |
| 1235597113 | Shannon Parker | Marriage & Family Therapist | 2175 Lexington Blvd, Building 2, Washington, IA 52353-9108 | 2016-02-05 |
| 1922479054 | Nichol Hohenbrink | Social Worker | 2175 Lexington Blvd, Bldg #2, Washington, IA 52353-9108 | 2015-10-15 |
| 1023489259 | Hillcrest Family Services | Community/Behavioral Health | 2175 Lexington Blvd, Building 2, Washington, IA 52353-9108 | 2015-10-14 |
| 1437534054 | Christopher Betsworth | Social Worker | 2175 Lexington Blvd, Washington, IA 52353-9108 | 2015-07-24 |
| 1639585052 | Elizabeth Lyn Voss | Counselor | 2175 Lexington Blvd, Bldg 2, Washington, IA 52353-9108 | 2014-07-07 |
| 1710259528 | Laurey Ann Easland | Social Worker | 2175 Lexington Blvd, Washington, IA 52353-9108 | 2012-02-08 |
| 1659684363 | Courtney Cook | Counselor | 2175 Lexington Blvd, Building #2, Washington, IA 52353-9108 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
| 1174727242 | Washington County Mini Bus Inc | Bus | 1010 W 5th, Washington, IA 52353 | 2007-06-13 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1194946459 | James Lewis Vanwinkle | Pharmacist | 400 E Polk, Washington, IA 52353 | 2007-05-02 |
| 1780701094 | Kim D Malichky | Pharmacist | 528 S Hwy #1, Washington, IA 52353 | 2007-03-23 |
| 1154736916 | Kelsey Renee Bayliss | Pharmacist | 222 S Iowa Ave, Washington, IA 52353 | 2014-06-30 |
| 1386914828 | Michael C Mcgowan | Nurse Anesthetist, Certified Registered | 400 E Polk St, Washington, IA 52353 | 2011-12-30 |
| 1689896532 | Todd Lynn Salow | Chiropractor | 112 E Washington St, Washington, IA 52353 | 2007-05-02 |
| 1285696906 | Family Counseling Services LLC | Social Worker | 110 N Iowa Ave, Suite 510, Washington, IA 52353 | 2006-04-06 |
| Find all providers in zip 52353 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
| 1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
| 1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
| 1609473750 | Asia Vianna Mack Leak | Counselor | 529 14th St Nw, Washington, DC 20045-1000 | 2020-10-01 |
| 1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
| 1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
| 1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
| 1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
| 1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 52353 |
Please comment or provide details below to improve the information on MS. STACY DIANE 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.