JASON GRAY LPC, LADC
NPI 1164874475
Counselor - Professional in Southbury, CT

Active since July 11, 2016
33 BULLET HILL RD STE 301, SOUTHBURY, CT 06488(203) 673-1099 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 10, 2023, Aug 4, 2022, Jun 29, 2020 and 3 more (6 updates tracked since 2016).

About Jason Gray Lpc, Ladc NPPES

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

JASON GRAY LPC, LADC (NPI 1164874475) is an individual professional provider in Southbury, Connecticut, licensed in Connecticut (7232) and active in the NPI registry since July 2016. He maintains a secondary practice location in Shelton.

NPPES Registry Identity

NPI1164874475
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON GRAYCredential: LPC, LADC
Location Address33 BULLET HILL RD STE 301Southbury, CT 06488-4697
Mailing Address33 Bullet Hill Rd Ste 216Southbury, CT 06488-4699 · (203) 673-1099
Sole ProprietorNo
Enumeration DateJuly 11, 2016
Last NPPES UpdateOctober 30, 20246 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1164874475 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 in CT · 7232
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 001368 (CT)
33 BULLET HILL RD STE 301, Southbury, CT 06488

Secondary Practice Location 1

Location 12 Corporate Dr Ste 146Shelton, CT 06484-6238 · Phone (203) 673-1099

Other Identifiers 1

Medicaid1164874475CT

Accepted Insurance

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
33 BULLET HILL RD STE 301
SOUTHBURY, CT 06488
Speech-Language Pathologist
33 BULLET HILL RD STE 301
SOUTHBURY, CT 06488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164874475, enumerated as an "individual" on July 11, 2016.

The provider is located at 33 BULLET HILL RD STE 301 SOUTHBURY, CT 06488 and the phone number is (203) 673-1099.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.