GRAY THERAPY LLC
NPI 1194687772
Clinic/Center - Mental Health (Including Community Mental Health Center) in Minneapolis, MN

Active since December 02, 2025
4045 ALDRICH AVE S, MINNEAPOLIS, MN 55409(612) 462-2185 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gray Therapy Llc NPPES

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

GRAY THERAPY LLC (NPI 1194687772) is a healthcare organization registered as a mental health (including community mental health center) in Minneapolis, Minnesota and active in the NPI registry since December 2025. The organization lists Lisa Gray, Marriage And Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1194687772
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAY THERAPY LLC
Location Address4045 ALDRICH AVE SMinneapolis, MN 55409-1415
Mailing Address4045 Aldrich Ave SMinneapolis, MN 55409-1415 · (612) 462-2185
Organization SubpartNo
Authorized OfficialLisa GrayMarriage And Family Therapist · (612) 461-7460
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1194687772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4045 ALDRICH AVE S, Minneapolis, MN 55409

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gray Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gray Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1437531803
4045 ALDRICH AVE S
Minneapolis, MN 55409
(612) 462-2185
✔ PECOSSame address

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

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 Gray Therapy LLC's NPI number?

The NPI number for Gray Therapy LLC is 1194687772. It was assigned to this organization in the NPPES registry on December 2, 2025.

Where is Gray Therapy LLC located?

Gray Therapy LLC is located at 4045 Aldrich Ave S, Minneapolis, MN 55409. The listed phone number is (612) 462-2185.

What is Gray Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Gray Therapy LLC enrolled in Medicare?

Yes. Gray Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gray Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Gray Therapy LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gray Therapy LLC was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.