THOMAS D GRAY LAC
NPI 1639867989
Counselor - Mental Health in Sierra Vista, AZ
About Thomas D Gray Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS D GRAY LAC (NPI 1639867989) is an individual mental health provider in Sierra Vista, Arizona, licensed in Arizona (LAC-21655) and active in the NPI registry since April 2023. He has opted out of Medicare through April 14, 2027.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Thomas D Gray Lac 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 April 14, 2025 through April 14, 2027.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
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 Thomas Gray's NPI number?
The NPI number for Thomas Gray is 1639867989. It was assigned to this individual provider in the NPPES registry on April 25, 2023.
Where is Thomas Gray located?
Thomas Gray practices at 5100 E Highway 90 Ste B, Sierra Vista, AZ 85635. The listed phone number is (520) 732-3621.
What is Thomas Gray's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Thomas Gray enrolled in Medicare?
No. Thomas Gray has opted out of Medicare through April 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Thomas Gray accept?
Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Thomas 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 Thomas Gray was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Thomas D Gray, LAC · NPI 1639867989
Mental Health provider in Sierra Vista, Arizona. Individual provider, active in the CMS NPPES registry since April 25, 2023.
## Identity
- **NPI:** 1639867989 (Entity type: Individual)
- **Enumerated:** April 25, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LAC-21655 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5100 E HIGHWAY 90 STE B, Sierra Vista, AZ 85635-2444
- **Phone:** (520) 732-3621
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 14, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639867989) · Data from the CMS NPPES public registry.