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JOHN TRENT GRAY MA, LMHC, SUDP
NPI 1720499106
Counselor - Mental Health in Olalla, WA

Active since May 19, 2014PECOS Enrolled
8059 SE NELSON RD, OLALLA, WA 98359(360) 801-2432 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, Jan 23, 2016 (2 updates tracked since 2016).

About John Trent Gray Ma, Lmhc, Sudp NPPES

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

JOHN TRENT GRAY MA, LMHC, SUDP (NPI 1720499106) is an individual mental health provider in Olalla, Washington, licensed in Washington (61024115) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720499106
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN TRENT GRAYCredential: MA, LMHC, SUDP
Location Address8059 SE NELSON RDOlalla, WA 98359
Mailing Address8059 Se Nelson RdOlalla, WA 98359 · (360) 801-2432
Phone(360) 801-2432
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 19, 2014
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1720499106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 61024115
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 60202770 (WA)
8059 SE NELSON RD, Olalla, WA 98359
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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)

John Trent Gray Ma, Lmhc, Sudp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183117096
PECOS Enrollment IDI20251130000085
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.

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 John Gray's NPI number?

The NPI number for John Gray is 1720499106. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is John Gray located?

John Gray practices at 8059 SE Nelson Rd, Olalla, WA 98359. The listed phone number is (360) 801-2432.

What is John Gray's specialty?

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

Is John Gray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Gray was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.