MR. GUS MICHAEL GRAY (NPI# 1700098993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700098993 |
| Entity Type | Individual |
| Full Name | MR. GUS MICHAEL GRAY |
| Credential | CPSS |
| Practice Address |
2043 Medical Park Dr Newberry SC 29108-2249 |
| Mailing Address |
110 Vincent Place Dr Newberry SC 29108-2376 |
| Practice Telephone | 8032768000 |
| Practice Fax Number | 8032766669 |
| Mailing Telephone | 8032768000 |
| Mailing Fax Number | 8032766669 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2043 MEDICAL PARK DR |
| City | NEWBERRY |
| State | SC |
| Zip Code | 29108-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376550087 | Helen R Mason | Psychologist | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-08-02 |
| 1972761724 | Beckman Mental Health Newberry Office | Community/Behavioral Health | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2008-05-29 |
| 1285790733 | Sidney Johnson | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-12-29 |
| 1679634356 | Pam S Stuck | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-12-13 |
| 1073694584 | Elizabeth Kinard Long | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-10-18 |
| 1144319617 | Shanna Jackson Gallman | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-10-12 |
| 1144319542 | Margaret Marie Epps | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-10-12 |
| 1649375908 | Cynthia Marie Helff | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-09-13 |
| 1356443881 | Chad C Lominick | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
| 1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
| 1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
| 1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
| 1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| Find all providers in zip 29108 | ||||
| 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 |
|---|---|---|---|---|
| 1336203991 | Kisha Sharell Lemon | Counselor | 2228 Harrington St, Newberry, SC 29108-3026 | 2006-12-20 |
| 1811234826 | Robert William Kopp | Counselor | 800 Main St, Newberry, SC 29108-3351 | 2013-01-10 |
| 1285790733 | Sidney Johnson | Counselor | 2043 Medical Park Dr, Newberry, SC 29108-2249 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1467051953 | Deontay Adrain Winchester | Counselor | 500 S Kaminski St Ste 213, Georgetown, SC 29440-3435 | 2020-10-26 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1902413214 | Kasey Knight Ennis | Counselor | 9260 Asbury Ln, Fort Mill, SC 29707-7527 | 2020-09-30 |
| 1467068585 | Tranquility Counseling | Counselor | 1101 Sweetwater Blvd, Murrells Inlet, SC 29576-8872 | 2020-09-23 |
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1447863196 | Brenda K Ishmael | Counselor | 232 Neeses Camp Rd, Neeses, SC 29107-9428 | 2020-08-24 |
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1427675438 | Melissa Nickens Mcbride | Counselor | 2625 Fossil Ln, Sumter, SC 29153-9519 | 2020-06-25 |
| 1194341487 | Elizabeth Manigault | Counselor | 763 Meeting St Ste 200, Charleston, SC 29403-3146 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
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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.