MS. CAROL LYNN GRAY (NPI# 1790822294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790822294 |
| Entity Type | Individual |
| Full Name | MS. CAROL LYNN GRAY |
| Credential | LMFT |
| Practice Address |
2604 Glen Echo Ln Manteca CA 95336-8390 |
| Practice Telephone | 5599018037 |
| Practice Fax Number | 5596841152 |
| Mailing Telephone | 5599018037 |
| Mailing Fax Number | 5596841152 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT42255 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC42255 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679214 | Carol L Gray | Occupational Therapy Assistant | 7662 Van Buren St, Merrillville, IN 46410-5769 | 2020-08-14 |
| 1376035006 | Carol Dawson Gray | Psychologist | 27 Orient Ave, Newton, MA 02459-1425 | 2018-05-30 |
| 1083064307 | Carol Andrea Gray | Technician, Other | 19193 Forrer St, Detroit, MI 48235-2302 | 2016-06-17 |
| 1386763795 | Carol Anne Gray | Midwife, Lay | 1414 Nw 53rd Drive, Portland, OR 97210 | 2007-03-28 |
| 1255467759 | Carol Tomaz Gray | Social Worker | 8 Marcella Ave, West Orange, NJ 07052 | 2007-02-26 |
| 1962952010 | Carol Gray | Psychologist | 910 N Madison Blvd, Roxboro, NC 27573-4573 | 2016-10-12 |
| 1619274578 | Carol Gray | Social Worker | 300 Prospect Ave, Hot Springs, AR 71901-4003 | 2011-02-11 |
| 1871802603 | Carol Gray | Speech-Language Pathologist | 140 W Franklin St Ste 202, Monterey, CA 93940-2725 | 2010-09-28 |
| 1326353939 | Carol M Gray | Community/Behavioral Health | 1000 State Street, Corinth, MS 38834 | 2010-08-09 |
| 1053563981 | Carol Ann Gray | Counselor | 600 S 2nd St, Central Point, OR 97502-2704 | 2008-10-22 |
| Street Address |
2604 GLEN ECHO LN |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-8390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522424 | Seamus Thompson | Marriage & Family Therapist | 1453 Cavalier Pl, Manteca, CA 95336-6406 | 2019-05-06 |
| 1417312281 | Elizabeth Marie Choate | Marriage & Family Therapist | 1463 Moffat Blvd Ste 4, Manteca, CA 95336-8952 | 2015-12-22 |
| 1598884678 | Margaret J Parker | Marriage & Family Therapist | 129 E Center St, Manteca, CA 95336-4648 | 2007-03-28 |
| 1497887699 | Donna Cassettari | Marriage & Family Therapist | 965 E Yosemite Ave Ste 21, Manteca, CA 95336-5944 | 2007-03-12 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1801940804 | Sony Ruth Nathaniel | Marriage & Family Therapist | 955 W Center St, Ste. 6, Manteca, CA 95337-7300 | 2007-01-23 |
| 1871642025 | Jennifer Annette Bordenave | Marriage & Family Therapist | 129 E Center St Ste 3, Manteca, CA 95336-4648 | 2007-01-09 |
| 1871655761 | Nilda Santiago Grimes | Marriage & Family Therapist | 250 Cherry Lane, Suite 110, Manteca, CA 95337-4397 | 2006-12-15 |
| 1104999275 | Tanya Reyes | Marriage & Family Therapist | 965 E Yosemite Ave Ste 1b, Manteca, CA 95336-5958 | 2006-11-16 |
| 1609966134 | Anita Freyman-danielsen | Marriage & Family Therapist | 336 Northgate Dr, Manteca, CA 95336-3139 | 2006-10-13 |
| Find all providers in MANTECA | ||||
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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.