MR. ROGER D. GRAY LADC
NPI 1194972455
Counselor - Addiction (Substance Use Disorder) in Ada, OK

Active since August 19, 2008
605 E 12TH ST, ADA, OK 74820(580) 436-3504(580) 436-5047 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Roger D. Gray Ladc NPPES

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

MR. ROGER D. GRAY LADC (NPI 1194972455) is an individual addiction (substance use disorder) provider in Ada, Oklahoma, licensed in Oklahoma (112) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1194972455
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ROGER D. GRAYCredential: LADC
Location Address605 E 12TH STAda, OK 74820-6605
Mailing AddressPo Box 2274Ada, OK 74821-2274 · (580) 436-3504 · Fax (580) 436-5047
Fax(580) 436-5047
Sole ProprietorNo
Enumeration DateAugust 19, 2008
NPI 1194972455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OK · 112
605 E 12TH ST, Ada, OK 74820

Other Identifiers 1

Medicaid100633110COK

Other Providers at the Same Location NPPES 3

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

Counselor
605 E 12TH ST
ADA, OK 74820
Community/Behavioral Health
605 E 12TH ST
ADA, OK 74820
Counselor (Addiction (Substance Use Disorder))
605 E 12TH ST
ADA, OK 74820

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 Roger Gray's NPI number?

The NPI number for Roger Gray is 1194972455. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Roger Gray located?

Roger Gray practices at 605 E 12th St, Ada, OK 74820. The listed phone number is (580) 436-3504.

What is Roger Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roger Gray was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.