KYLIE ELISE GRAY LMHC
NPI 1174302665
Counselor - Mental Health in Buffalo, NY

Active since September 25, 2023PECOS Enrolled
1500 BROADWAY ST, BUFFALO, NY 14212(716) 895-6700 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kylie Elise Gray Lmhc NPPES

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

KYLIE ELISE GRAY LMHC (NPI 1174302665) is an individual mental health provider in Buffalo, New York, licensed in New York (017990) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Amherst, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174302665
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLIE ELISE GRAYCredential: LMHC
Location Address1500 BROADWAY STBuffalo, NY 14212-1862
Mailing Address1500 Broadway StBuffalo, NY 14212-1862 · (716) 895-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 25, 2023
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1174302665 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 NY · 017990
1500 BROADWAY ST, Buffalo, NY 14212

Secondary Practice Location 1

Location 1501 John James Audubon Pkwy Ste 110Amherst, NY 14228-1143 · Phone (716) 202-8877 · Fax (716) 463-2226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Elise Gray Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234696139
PECOS Enrollment IDI20260811002609
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.

Medicare Billing Reassignment

Medicare enrollment records show Kylie Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
1526 WALDEN AVE, STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Mental Health)
1500 BROADWAY ST
BUFFALO, NY 14212
Nurse Practitioner (Pediatrics)
1500 BROADWAY ST
BUFFALO, NY 14212
Counselor
1500 BROADWAY ST
BUFFALO, NY 14212
Registered Nurse
1500 BROADWAY ST
BUFFALO, NY 14212
Social Worker
1500 BROADWAY ST
BUFFALO, NY 14212
Counselor
1500 BROADWAY ST
BUFFALO, NY 14212
Registered Nurse
1500 BROADWAY ST
BUFFALO, NY 14212
Physician Assistant
1500 BROADWAY ST
BUFFALO, NY 14212

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 Kylie Gray's NPI number?

The NPI number for Kylie Gray is 1174302665. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Kylie Gray located?

Kylie Gray practices at 1500 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 895-6700.

What is Kylie Gray's specialty?

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

Is Kylie Gray enrolled in Medicare?

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

Which organization bills Medicare for Kylie Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Gray reassigns Medicare benefits to Mid Erie Mental Health Services Inc (Cheektowaga, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kylie Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylie Gray accept?

Health plans from Oscar Health list Kylie 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 Kylie Gray was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.