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FREDDIE GRAY
NPI 1942669171
Counselor - Mental Health in Eugene, OR

Active since February 16, 2016
195 W 12TH AVE, EUGENE, OR 97401(541) 762-4300 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Nov 19, 2020, Mar 20, 2019 and 4 more (7 updates tracked since 2016).

About Freddie Gray NPPES

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

FREDDIE GRAY (NPI 1942669171) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1942669171
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameFREDDIE GRAY
Location Address195 W 12TH AVEEugene, OR 97401-3408
Mailing Address687 Cheshire AveEugene, OR 97402-5060 · (541) 684-4100 · Fax (541) 684-4156
Phone(541) 762-4300
Sole ProprietorNo
Enumeration DateFebruary 16, 2016
Last NPPES UpdateOctober 1, 20217 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1942669171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
195 W 12TH AVE, Eugene, OR 97401
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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.

MR. DEVAN LEE MCALEXANDER CADC CANDIDATE, PSS
Peer Specialist
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 762-4319
JIN YOUNG PARK FNP-BC
Nurse Practitioner (Family)
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 762-4325
MRS. COLLEEN VIOLET ELLIS MA
Counselor (Mental Health)
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 762-4334
PLAZA DE NUESTRA COMUNIDAD
Case Management
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 687-2667
DARYL DUANE CORWIN QMHA
Counselor (Mental Health)
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 762-4300
SHANE DOUGLAS ROUSH
Counselor (Addiction (Substance Use Disorder))
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 762-4300
STEPHANIE ROCHELLE TOLENTINO CSWA
Social Worker (Clinical)
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 762-4300
SIERRA JAGER
Counselor (Mental Health)
195 W 12TH AVE
EUGENE, OR 97401
Lane County (541) 762-4300

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 Freddie Gray's NPI number?

The NPI number for Freddie Gray is 1942669171. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Freddie Gray located?

Freddie Gray practices at 195 W 12th Ave, Eugene, OR 97401. The listed phone number is (541) 762-4300.

What is Freddie Gray's specialty?

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

When was this NPI record last updated?

The NPPES record for Freddie Gray was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.