Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNIFER LEIANNE GRAY
NPI 1093621617
Counselor - Mental Health in Holly Hill, FL

Q: What is Jennifer Gray's NPI number?

The NPI number for Jennifer Gray is 1093621617. It was assigned to this individual provider in the NPPES registry on August 22, 2026.

Q: What is Jennifer Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gray was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.

Active since August 22, 2026

721 RIDGEWOOD AVE STE 6, HOLLY HILL, FL 32117(405) 543-9692 Get Directions Write a Review

NPPES record added: August 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jennifer Leianne Gray NPPES

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

JENNIFER LEIANNE GRAY (NPI 1093621617) is an individual mental health provider in Holly Hill, Florida, licensed in Florida (IMH26667) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1093621617

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER LEIANNE GRAY

Location Address721 RIDGEWOOD AVE STE 6Holly Hill, FL 32117-3647

Mailing Address40 River Ridge TrlOrmond Beach, FL 32174-4315 · (405) 543-9692

Phone(405) 543-9692

Sole ProprietorYes

Enumeration DateAugust 22, 2026

NPPES CertifiedAugust 22, 2026

✔ NPI 1093621617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · IMH26667

721 RIDGEWOOD AVE STE 6, Holly Hill, FL 32117

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jennifer Gray's NPI number?

The NPI number for Jennifer Gray is 1093621617. It was assigned to this individual provider in the NPPES registry on August 22, 2026.

Where is Jennifer Gray located?

Jennifer Gray practices at 721 Ridgewood Ave Ste 6, Holly Hill, FL 32117. The listed phone number is (405) 543-9692.

What is Jennifer Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Gray was last updated on August 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.