DAVID GRAY P.C. (NPI# 1306306378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306306378 |
| Entity Type | Organization |
| Organization Name | DAVID GRAY P.C. |
| Other Organization Name | GRAY THERAPEUTICS |
| Practice Address |
1580 S Milwaukee Ave Libertyville IL 60048-3764 |
| Mailing Address |
22072 W Engle Dr Lake Villa IL 60046-5411 |
| Practice Telephone | 4407148822 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | DAVID S GRAY (PRESIDENT) |
| Authorized Official Telephone | 4407148822 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1649636077 | 01 |
| Other Name | Type Code |
|---|---|
| Gray Matter Therapy | Doing Business As Name - Organization |
| Gray Therapeutics | Doing Business As Name - Organization |
| Street Address |
1580 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760679047 | Gretchen Kathryn Clemens | Social Worker | 1580 S Milwaukee Ave, Suite #407, Libertyville, IL 60048-3764 | 2007-10-01 |
| 1861928152 | Melinda Finn | Counselor | 1580 S Milwaukee Ave, Libertyville, IL 60048-3764 | 2017-05-04 |
| 1124565809 | Karen Woodnorth, P.C. | Counselor | 1580 S Milwaukee Ave, Suite 407, Libertyville, IL 60048-3764 | 2017-01-19 |
| 1245782754 | Connect Psychological Services | Psychologist | 1580 S Milwaukee Ave, Suite 407, Libertyville, IL 60048-3764 | 2016-10-31 |
| 1215327002 | Helena Lee, Ma, Lcpc, LLC | Counselor | 1580 S Milwaukee Ave, Suite 512, Libertyville, IL 60048-3764 | 2015-01-30 |
| 1467875880 | Cs&l Healthcare, LLC | In Home Supportive Care | 1580 S Milwaukee Ave, Suite 201, Libertyville, IL 60048-3764 | 2014-01-22 |
| 1467897512 | Gretchen Clemens, Lcsw | Social Worker | 1580 S Milwaukee Ave, 407, Libertyville, IL 60048-3764 | 2013-05-02 |
| 1588920615 | Lifeplace, Inc. | Counselor | 1580 S Milwaukee Ave, Suite 307, Libertyville, IL 60048-3764 | 2012-04-03 |
| 1962775742 | Helena Lee | Counselor | 1580 S Milwaukee Ave, Suite 512, Libertyville, IL 60048-3764 | 2012-02-09 |
| 1265742902 | Katie Elaine Schlichting | Social Worker | 1580 S Milwaukee Ave, Suite 300, Libertyville, IL 60048-3764 | 2010-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710245568 | Denise C Ramirez | Counselor | 1113 S. Milwaukee Ave, #104, Libertyville, IL 60048 | 2012-04-30 |
| 1346345824 | Holly C Bosier Licensed Clinical Professional Counselor PC | Counselor | 1590 S Milwaukee Ave, Suite 303, Libertyville, IL 60048 | 2006-09-13 |
| 1467062356 | Glenisha Lavene Cole Foreman | Counselor | 1860 W Winchester Rd Ste 205, Libertyville, IL 60048-5317 | 2020-08-05 |
| 1164994562 | Allison Faye Wollert | Counselor | 1641 N Milwaukee Ave Ste 7, Libertyville, IL 60048-1350 | 2018-12-23 |
| 1356860282 | Lucas M Tillett | Counselor | 1580 S Milwaukee Ave Ste 307, Libertyville, IL 60048-3773 | 2017-09-12 |
| 1932646742 | Hillary Deblois | Counselor | 18698 W Peterson Rd, Libertyville, IL 60048-1052 | 2017-01-31 |
| 1346785011 | Marianny Arribas | Counselor | 1113 S Milwaukee Ave, Ste 104, Libertyville, IL 60048-3758 | 2017-01-04 |
| 1053866483 | Bithynia Abarca | Counselor | 1113 S Milwaukee Ave, Suite 104, Libertyville, IL 60048-3758 | 2016-08-15 |
| 1386017184 | Lydia Schlueter | Counselor | 1590 S Milwaukee Ave, Suite 302, Libertyville, IL 60048-3793 | 2015-11-03 |
| 1194118802 | Faya Kacos-shiu | Counselor | 150 E. Cook Ave., Suite 100, Libertyville, IL 60048-2060 | 2015-03-05 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.