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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY JEAN GRAY MS, LPC, CM
NPI 1629110853
Counselor - Mental Health in Eugene, OR

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
2650 SUZANNE WAY STE 120, EUGENE, OR 97408(541) 345-2800(541) 345-4419 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2021, Jul 7, 2021 (2 updates tracked since 2021).

About Kimberly Jean Gray Ms, Lpc, Cm NPPES

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

KIMBERLY JEAN GRAY MS, LPC, CM (NPI 1629110853) is an individual mental health provider in Eugene, Oregon, licensed in Oregon (C6574) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1629110853
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY JEAN GRAYCredential: MS, LPC, CM
Location Address2650 SUZANNE WAY STE 120Eugene, OR 97408-7619
Mailing Address3130 Kinsrow Ave Apt 319Eugene, OR 97401-8856
Phone(541) 345-2800
Fax(541) 345-4419
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1629110853 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 OR · C6574
2650 SUZANNE WAY STE 120, Eugene, OR 97408
Open in Google Maps ↗

Other Identifiers 3

Medicaid3893OK
Medicaid500796814OR
Other12140003Caqh Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Jean Gray Ms, Lpc, Cm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850742388
PECOS Enrollment IDI20240109004733
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 8

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

MRS. STEPHANIE LYNN EVANS-WONDRA M.A.
Counselor (Professional)
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 345-2800
JENNIFER ALYCE MOORHEAD LPC
Counselor (Mental Health)
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 345-2800
ANJALI RUGHANI SMITH
Marriage & Family Therapist
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 345-2800
MRS. WENDY MARIE POPP
Counselor (Mental Health)
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 345-2800
ERICA CROSS
Student in an Organized Health Care Education/Training Program
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 134-5280
GRACE GRYMONPRE-DWYER LPC
Counselor (Mental Health)
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 228-3000
SARAH CORDUA LPC
Counselor (Mental Health)
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 345-2800
MIRIAM ROSE HERRMANN
Counselor
2650 SUZANNE WAY STE 120
EUGENE, OR 97408
Lane County (541) 345-2800

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 Kimberly Gray's NPI number?

The NPI number for Kimberly Gray is 1629110853. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Kimberly Gray located?

Kimberly Gray practices at 2650 Suzanne Way Ste 120, Eugene, OR 97408. The listed phone number is (541) 345-2800.

What is Kimberly Gray's specialty?

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

Is Kimberly Gray enrolled in Medicare?

Yes. Kimberly Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Gray accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly 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 Kimberly Gray was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.