RANDI SHURIEE GRAY LPC, NCC
NPI 1639733520
Counselor - Professional in Mesa, AZ
About Randi Shuriee Gray Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDI SHURIEE GRAY LPC, NCC (NPI 1639733520) is an individual professional provider in Mesa, Arizona, licensed in Arizona (LPC-16731) and active in the NPI registry since April 2019. She has opted out of Medicare through February 17, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Randi Shuriee Gray Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2026 through February 17, 2028.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Randi Gray's NPI number?
The NPI number for Randi Gray is 1639733520. It was assigned to this individual provider in the NPPES registry on April 25, 2019.
Where is Randi Gray located?
Randi Gray practices at 3740 E Southern Ave Ste 209, Mesa, AZ 85206. The listed phone number is (480) 553-7743.
What is Randi Gray's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Randi Gray enrolled in Medicare?
No. Randi Gray has opted out of Medicare through February 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Randi Gray was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Randi Shuriee Gray, LPC, NCC · NPI 1639733520
Professional provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since April 25, 2019.
## Identity
- **NPI:** 1639733520 (Entity type: Individual)
- **Enumerated:** April 25, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-16731 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 3740 E SOUTHERN AVE STE 209, Mesa, AZ 85206-2512
- **Phone:** (480) 553-7743
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639733520) · Data from the CMS NPPES public registry.