HOLLY CRYSTAL GRAY LLMSW
NPI 1730565011
Social Worker in Grand Rapids, MI
About Holly Crystal Gray Llmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY CRYSTAL GRAY LLMSW (NPI 1730565011) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801098515) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Crystal Gray Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 261 clinicians in this Medicare group
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.
GRAND RAPIDS, MI 49512
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 Holly Gray's NPI number?
The NPI number for Holly Gray is 1730565011. It was assigned to this individual provider in the NPPES registry on August 10, 2015. The provider is also known as Holly Crystal Stratton.
Where is Holly Gray located?
Holly Gray practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.
What is Holly Gray's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Holly Gray enrolled in Medicare?
Yes. Holly Gray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Holly Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Gray reassigns Medicare benefits to Pine Rest Christian Mental Health Services (Grand Rapids, MI). 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 Holly Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Gray accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Oscar Insurance Company and Priority Health and 1 other insurer list Holly 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 Holly Gray was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Holly Crystal Gray, LLMSW · NPI 1730565011
Social Worker provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 10, 2015.
## Identity
- **NPI:** 1730565011 (Entity type: Individual)
- **Enumerated:** August 10, 2015
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6801098515 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 36TH ST SE, Grand Rapids, MI 49512-2810
- **Phone:** (616) 942-2110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pine Rest Christian Mental Health Services (NPI 1922019157, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1730565011) · Data from the CMS NPPES public registry.