CASSAUNDRA GRAY LPC
NPI 1497176515
Counselor - Professional in Atlanta, GA

Active since December 16, 2013PECOS Enrolled
3645 MARKETPLACE BLVD, SUITE 130-129, ATLANTA, GA 30344(770) 899-6462 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cassaundra Gray Lpc NPPES

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

CASSAUNDRA GRAY LPC (NPI 1497176515) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC007492) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497176515
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCASSAUNDRA GRAYCredential: LPC
Location Address3645 MARKETPLACE BLVD, SUITE 130-129Atlanta, GA 30344-5747
Mailing Address3645 Marketplace Blvd, Suite 130-129Atlanta, GA 30344-5747 · (770) 899-6462
Sole ProprietorYes
Enumeration DateDecember 16, 2013
NPI 1497176515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC007492
3645 MARKETPLACE BLVD, Atlanta, GA 30344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cassaundra Gray Lpc 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 14

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

Physical Therapist
3645 MARKETPLACE BLVD, STE 160
EAST POINT, GA 30344
Speech-Language Pathologist
3645 MARKETPLACE BLVD, SUITE 130-635
EAST POINT, GA 30344
Counselor (Professional)
3645 MARKETPLACE BLVD, STE 130-626
EAST POINT, GA 30344
Durable Medical Equipment & Medical Supplies (Customized Equipment)
3645 MARKETPLACE BLVD
EAST POINT, GA 30344
In Home Supportive Care
3645 MARKETPLACE BLVD, SUITE 201
EAST POINT, GA 30344
Counselor (Professional)
3645 MARKETPLACE BLVD, 266
EAST POINT, GA 30344
Speech-Language Pathologist
3645 MARKETPLACE BLVD, SUITE 130-635
EAST POINT, GA 30344
Physical Therapist
3645 MARKETPLACE BLVD, STE 160
EAST POINT, GA 30344

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 Cassaundra Gray's NPI number?

The NPI number for Cassaundra Gray is 1497176515. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is Cassaundra Gray located?

Cassaundra Gray practices at 3645 Marketplace Blvd Suite 130-129, Atlanta, GA 30344. The listed phone number is (770) 899-6462.

What is Cassaundra Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cassaundra Gray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cassaundra Gray was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.