SAMUEL GRAY
NPI 1710447859
Counselor in Seabrook, NH

Q: What is Samuel Gray's NPI number?

The NPI number for Samuel Gray is 1710447859. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Q: What is Samuel 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 Samuel Gray was last updated on June 11, 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.

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment

867 LAFAYETTE RD, SEABROOK, NH 03874(603) 686-9884 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Mar 24, 2019 (2 updates tracked since 2019).

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About Samuel Gray NPPES

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

SAMUEL GRAY (NPI 1710447859) is an individual counselor in Seabrook, New Hampshire and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710447859

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSAMUEL GRAY

Location Address867 LAFAYETTE RDSeabrook, NH 03874-4217

Mailing Address867 Lafayette RdSeabrook, NH 03874-4217 · (603) 686-9884

Phone(603) 686-9884

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 24, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1710447859 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.

867 LAFAYETTE RD, Seabrook, NH 03874

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Other Identifiers 1

Medicaid61201861237NH

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

Samuel 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 ID8820574148

PECOS Enrollment IDI20260107001464

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 10

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

WHITNEY WESTHELLE

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