KIMBERLY JEAN GRAY (MS, LPC, CM) – Professional Counselor, NPI 1629110853
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,199 MENTAL HEALTH COUNSELOR in OK
Provider Addresses for KIMBERLY JEAN GRAY (MS, LPC, CM)
807 SW F AVE
LAWTON, OK 735014506
Phone: (580) 595-7000
Fax: (580) 595-7005
Type: Mailing
66 CLUB RD STE 160
EUGENE, OR 974012439
Phone: (541) 345-1722
Fax: (541) 485-7049
Type: Location
400 Virginia Ave Ste 201
North Bend, OR 974593444
Phone: (541) 672-2691
Fax: (833) 299-8415
Type: Location
PO BOX 1121
ROSEBURG, OR 974700254
Phone: (415) 672-2691
Fax: (338) 299-8415
Type: Mailing
400 VIRGINIA AVE STE 201
NORTH BEND, OR 974593444
Phone: (541) 672-2691
Fax: (833) 299-8415
Type: Location
PO BOX 70779
SPRINGFIELD, OR 974750137
Phone: (541) 345-1722
Fax: (541) 485-7049
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109004733 | I | Mental Health Counselor | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73501)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | OR | |
| - | CA | |
| Nurse Practitioner | IL | |
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.