MRS. KENDALL LEA GRAYSON MA, LPC
NPI 1104029321
Counselor - Professional in Jefferson City, MO

Active since June 06, 2007PECOS Enrolled
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109(573) 632-5560(573) 632-5875 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Nov 14, 2024, Nov 22, 2019 and 1 more (4 updates tracked since 2019).

About Mrs. Kendall Lea Grayson Ma, Lpc NPPES

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

MRS. KENDALL LEA GRAYSON MA, LPC (NPI 1104029321) is an individual professional provider in Jefferson City, Missouri, licensed in Missouri (2006026894) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1104029321
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KENDALL LEA GRAYSONCredential: MA, LPC
Location Address1432 SOUTHWEST BLVDJefferson City, MO 65109-2444
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 632-5875
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 6, 2007
Last NPPES UpdateMay 19, 20254 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1104029321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2006026894
1432 SOUTHWEST BLVD, Jefferson City, MO 65109

Other Names 1

Former Name (1)Kendall Lea Roach

Other Identifiers 2

Medicaid490117009MO
Other11871325Caqh

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)

Mrs. Kendall Lea Grayson Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628503083
PECOS Enrollment IDI20241121001847
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Psychologist
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Counselor (Professional)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Ophthalmology
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Psychiatric/Mental Health)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Pharmacist (Oncology)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Physical Medicine & Rehabilitation
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Counselor (Professional)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109

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 Kendall Grayson's NPI number?

The NPI number for Kendall Grayson is 1104029321. It was assigned to this individual provider in the NPPES registry on June 6, 2007. The provider is also known as Kendall Lea Roach.

Where is Kendall Grayson located?

Kendall Grayson practices at 1432 Southwest Blvd, Jefferson City, MO 65109. The listed phone number is (573) 632-5560.

What is Kendall Grayson's specialty?

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

Is Kendall Grayson enrolled in Medicare?

Yes. Kendall Grayson is registered in the Medicare PECOS enrollment system.

What insurance does Kendall Grayson accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Kendall Grayson 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.

Is Kendall Grayson affiliated with any hospitals?

According to CMS data, Kendall Grayson is affiliated with University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Kendall Grayson was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.