SAMANTHA GRAY
NPI 1699397224
Counselor - Mental Health in Tonawanda, NY

Active since May 18, 2020PECOS EnrolledAccepts Medicare Assignment
100 NIAGARA ST, TONAWANDA, NY 14150(716) 831-1850 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Gray NPPES

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

SAMANTHA GRAY (NPI 1699397224) is an individual mental health provider in Tonawanda, New York, licensed in New York (010395) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Snyder, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699397224
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA GRAY
Location Address100 NIAGARA STTonawanda, NY 14150-1104
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 18, 2020
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1699397224 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 NY · 010395
100 NIAGARA ST, Tonawanda, NY 14150

Secondary Practice Location 1

Location 14511 Harlem RdSnyder, NY 14226-3803 · Phone (716) 229-5766

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

Samantha Gray 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 ID8022460237
PECOS Enrollment IDI20240123002906
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 15

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

Counselor (Mental Health)
100 NIAGARA ST
TONAWANDA, NY 14150
Social Worker (Clinical)
100 NIAGARA ST
TONAWANDA, NY 14150
Social Worker
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Student in an Organized Health Care Education/Training Program
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150

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 Samantha Gray's NPI number?

The NPI number for Samantha Gray is 1699397224. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Samantha Gray located?

Samantha Gray practices at 100 Niagara St, Tonawanda, NY 14150. The listed phone number is (716) 831-1850.

What is Samantha Gray's specialty?

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

Is Samantha Gray enrolled in Medicare?

Yes. Samantha 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.

When was this NPI record last updated?

The NPPES record for Samantha Gray was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.