KAMILLAH DEVONNE GRAY
NPI 1023722451
Counselor - Professional in Mc Lean, VA

Active since January 10, 2023PECOS Enrolled
1311 DOLLEY MADISON BLVD STE 2D, MC LEAN, VA 22101(571) 200-5518 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 7, 2024, Nov 17, 2023, Feb 27, 2023 and 2 more (5 updates tracked since 2023).

About Kamillah Devonne Gray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMILLAH DEVONNE GRAY (NPI 1023722451) is an individual professional provider in Mc Lean, Virginia, licensed in (0701013055) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023722451
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAMILLAH DEVONNE GRAY
Location Address1311 DOLLEY MADISON BLVD STE 2DMc Lean, VA 22101-3937
Mailing AddressPo Box 748465Atlanta, GA 30374-8465
Sole ProprietorNo
Enumeration DateJanuary 10, 2023
Last NPPES UpdateFebruary 7, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
NPI 1023722451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed · 0701013055
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1311 DOLLEY MADISON BLVD STE 2D, Mc Lean, VA 22101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kamillah Devonne Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kamillah Gray's NPI number?

The NPI number for Kamillah Gray is 1023722451. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Kamillah Gray located?

Kamillah Gray practices at 1311 Dolley Madison Blvd Ste 2D, Mc Lean, VA 22101. The listed phone number is (571) 200-5518.

What is Kamillah Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kamillah Gray enrolled in Medicare?

Yes. Kamillah Gray is registered in the Medicare PECOS enrollment system.

What insurance does Kamillah Gray accept?

Health plans from Providence Health Plan list Kamillah Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kamillah Gray was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.