COURTNEY DEMETRI GREY
NPI 1609527373
Counselor in Carbondale, IL

Q: What is Courtney Grey's NPI number?

The NPI number for Courtney Grey is 1609527373. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Q: What is Courtney Grey's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Grey was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 14, 2022

2411 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 457-6703(618) 549-3734 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Courtney Demetri Grey NPPES

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

COURTNEY DEMETRI GREY (NPI 1609527373) is an individual counselor in Carbondale, Illinois and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1609527373

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameCOURTNEY DEMETRI GREY

Location Address2411 S ILLINOIS AVECarbondale, IL 62903-5913

Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440

Phone(618) 457-6703

Fax(618) 549-3734

Sole ProprietorNo

Enumeration DateJanuary 14, 2022

NPPES CertifiedJanuary 14, 2022

✔ NPI 1609527373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2411 S ILLINOIS AVE, Carbondale, IL 62903

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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.

CENTERSTONE OF ILLINOIS, INC

Clinic/Center (Mental Health (Including Community Mental Health Center))