FREDIANNE GRAY LSWAIC
NPI 1659052470
Counselor in Lynnwood, WA

Q: What is Fredianne Gray's NPI number?

The NPI number for Fredianne Gray is 1659052470. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Q: What is Fredianne Gray'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 Fredianne Gray was last updated on July 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.

Active since July 25, 2023PECOS Enrolled

5108 196TH ST SW STE 350, C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310, LYNNWOOD, WA 98036(425) 582-2041 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fredianne Gray Lswaic NPPES

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

FREDIANNE GRAY LSWAIC (NPI 1659052470) is an individual counselor in Lynnwood, Washington and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659052470

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameFREDIANNE GRAYCredential: LSWAIC

Location Address5108 196TH ST SW STE 350, C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310Lynnwood, WA 98036-6169

Mailing Address5108 196th St Sw Ste 350, C/o Rxdx Medical Billing Services Llc, Ste 310Lynnwood, WA 98036-6169

Phone(425) 582-2041

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 25, 2023

NPPES CertifiedJuly 25, 2023

✔ NPI 1659052470 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.

5108 196TH ST SW STE 350, Lynnwood, WA 98036

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredianne Gray Lswaic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355810722

PECOS Enrollment IDI20260514002528

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 20

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

NICOLE CONNER

Social Worker (Clinical)