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FREDIANNE GRAY LSWAIC
NPI 1659052470
Counselor in Lynnwood, WA

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: October 25, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Fredianne Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Mental Health LLC
Same address
Mental Health
5108 196TH ST SW STE 350
Lynnwood, WA 98036
  • Reassigned Medicare billing, Washington enrollment
  • 21 clinicians in this Medicare group
NPI 1255987368 (425) 582-2041

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041
PACIFIC MENTAL HEALTH LLC
Counselor (Mental Health)
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041
GABRIEL DREW GUTH
Counselor
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041
GILLIAN M HALLISSEY LMHCA
Counselor
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041
KATIE S ROSKILLY LMHCA
Counselor
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041
MORGAN BOLING LSWAIC
Counselor
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041
SAVANNAH TV STANCIEL LSWAIC
Social Worker (Clinical)
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041
ADRIANA M REEDY LSWAIC
Social Worker (Clinical)
5108 196TH ST SW STE 350
LYNNWOOD, WA 98036
Snohomish County (425) 582-2041

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 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.

Where is Fredianne Gray located?

Fredianne Gray practices at 5108 196th St SW Ste 350 C/O Rxdx Medical Billing Services LLC, Ste 310, Lynnwood, WA 98036. The listed phone number is (425) 582-2041.

What is Fredianne Gray's specialty?

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

Is Fredianne Gray enrolled in Medicare?

Yes. Fredianne Gray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fredianne Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fredianne Gray reassigns Medicare benefits to Pacific Mental Health LLC (Lynnwood, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fredianne Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fredianne Gray accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fredianne 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 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.