Active NPIIndividual provider

Jason Gray, LPC, LADC

Counselor, Professional in Southbury, Connecticut

NPI Number1164874475
Practice location
33 Bullet Hill RD Ste 301, Southbury, CT 06488-4697
Fax
—
Last updated
October 30, 2024

Jason Gray is a Counselor, Professional based in Southbury, CT. Jason Gray practices in Southbury, CT and has the professional credentials of LPC, LADC. The NPI Number for Jason Gray is 1164874475 and holds a License No. 7232 (CT). The current practice location address for Jason Gray is 33 Bullet Hill RD Ste 301, Southbury, CT 06488-4697 and can be reached out via phone at 203-673-1099.

Provider Profile Details

NPI Number
1164874475
Provider Name
Jason Gray
Credential
LPC, LADC
Provider Entity Type
Individual
Gender
Male
Address
33 Bullet Hill RD Ste 301, Southbury, CT 06488-4697
Phone Number
203-673-1099
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2016
Last Update Date
October 30, 2024
Certification Date
October 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Bullet Hill RD Ste 301
Southbury, CT 06488-4697
Zip
06488-4697
Phone Number
203-673-1099
Southbury, CT 06488Get directions →

Provider Business Mailing Address Details

Address
33 Bullet Hill RD Ste 216
Southbury, CT 06488-4699
City
Southbury
State
CT
Zip
06488-4699
Phone Number
203-673-1099

License Information

License Number (1)
7232
License State (1)
CT
Taxonomy (1)
Counselor, Professional · 101YP2500X · Primary
License Number (2)
001368
License State (2)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jason Gray, LPC, LADC?

The NPI number of Jason Gray, LPC, LADC is 1164874475. It was assigned on July 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Jason Gray, LPC, LADC?

Jason Gray, LPC, LADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 7232.

Where does Jason Gray, LPC, LADC practice?

The practice location is 33 Bullet Hill RD Ste 301, Southbury, CT 06488-4697. The office can be reached at 203-673-1099 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164874475 directly on the NPPES registry website.

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