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DR. JILL MAVEN GRAY PSYD, LP
NPI 1124124045
Psychologist - Clinical in St Louis Park, MN

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416(952) 933-8900(952) 945-9536 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2022, Dec 18, 2018, Aug 23, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Jill Maven Gray Psyd, Lp NPPES

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

DR. JILL MAVEN GRAY PSYD, LP (NPI 1124124045) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (LP3557) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Landfall Village, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1124124045
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JILL MAVEN GRAYCredential: PSYD, LP
Location Address4201 EXCELSIOR BLVDSt Louis Park, MN 55416-4728
Mailing Address4201 Excelsior BlvdSt Louis Park, MN 55416-4728 · (952) 933-8900 · Fax (952) 945-9536
Phone(952) 933-8900
Fax(952) 945-9536
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 25, 20224 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1124124045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP3557
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4201 EXCELSIOR BLVD, St Louis Park, MN 55416
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Other Names 1

Former Name (1)Dr. Jill Marie Adams Lp

Secondary Practice Location 1

Location 163 Aspen PtLandfall Village, MN 55128-7111 · Phone (651) 341-2014

Other Identifiers 3

Other61-56740MN · Medica - Ubh
Medicaid920215300MN
Other996N6AJMN · Blue Cross/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jill Maven Gray Psyd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799727095
PECOS Enrollment IDI20050526000515
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
247 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

RACHEL ANDERSON NP-C
Nurse Practitioner
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
DR. TOAN QUOC TRAN D.P.T.
Physical Therapist
4201 EXCELSIOR BLVD
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
MINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC
Physical Therapist
4201 EXCELSIOR BLVD
ST. LOUIS PARK, MN 55416
Hennepin County (952) 564-3880
DR. OLGA KARACHENETS M.D.
Family Medicine
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
LINDA SHAW HALLER PA-C, MPH
Physician Assistant (Medical)
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 564-3880
HOMEOPATHIC MEDICAL CLINIC
Clinic/Center (Health Service)
4201 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416
Hennepin County (952) 933-8900
TARAN JOHN BARRETT DC
Chiropractor
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 933-8900
MRS. ANGELA DIANE SASSE DC
Chiropractor
4201 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416
Hennepin County (952) 933-8900

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 Jill Gray's NPI number?

The NPI number for Jill Gray is 1124124045. It was assigned to this individual provider in the NPPES registry on September 16, 2006. The provider is also known as Dr. Jill Marie Adams LP.

Where is Jill Gray located?

Jill Gray practices at 4201 Excelsior Blvd, St Louis Park, MN 55416. The listed phone number is (952) 933-8900.

What is Jill Gray's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jill Gray enrolled in Medicare?

Yes. Jill Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jill Gray accept?

Health plans from HealthPartners list Jill 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 Jill Gray was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.