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DR. ALICE MARIE GRAY PSYD
NPI 1164659975
Counselor - Mental Health in Idaho Falls, ID

Active since June 18, 2009PECOS Enrolled
1740 E 17TH ST, IDAHO FALLS, ID 83404(310) 365-3762(208) 529-3184 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alice Marie Gray Psyd NPPES

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

DR. ALICE MARIE GRAY PSYD (NPI 1164659975) is an individual mental health provider in Idaho Falls, Idaho, licensed in Idaho (LCPC -4606) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164659975
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. ALICE MARIE GRAYCredential: PSYD
Location Address1740 E 17TH STIdaho Falls, ID 83404-6375
Mailing Address1260 Gary StBlackfoot, ID 83221-2009 · (310) 365-3762 · Fax (208) 529-3184
Phone(310) 365-3762
Fax(208) 529-3184
Sole ProprietorNo
Enumeration DateJune 18, 2009
Last NPPES UpdateNovember 18, 2011
✔ NPI 1164659975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC -4606
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1740 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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)

Dr. Alice Marie Gray Psyd 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.

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.

LISA J RUSSOM LSW
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 313-8355
ROBERT HOMAN VOSE B.A.
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 524-1278
BRION L BOLDT BA
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-8866
MISS ITZEL VALENCIA BS
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
CHRISTINA LEMEK BS
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 709-0362
KARLY DAWN BINGHAM B.S.
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
JENNIFER A HUNTSMAN BA
Social Worker
1740 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500
MS. MYRNA LEE P.A.-C
Physician Assistant (Medical)
1740 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Bonneville County (208) 346-7500

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 Alice Gray's NPI number?

The NPI number for Alice Gray is 1164659975. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Alice Gray located?

Alice Gray practices at 1740 E 17th St, Idaho Falls, ID 83404. The listed phone number is (310) 365-3762.

What is Alice Gray's specialty?

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

Is Alice Gray enrolled in Medicare?

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

What insurance does Alice Gray accept?

Health plans from PacificSource Health Plans list Alice 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 Alice Gray was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.