Carl Gray
Counselor, Addiction (Substance Use Disorder) in Cleveland, OH. Individual provider (NPI-1).
NPI number1548090830
StatusActive
Last updated in NPPESFeb 20, 2025
Details
- NPI
- 1548090830
- Entity type
- Individual (NPI-1)
- Name
- Carl Gray
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2024
- Certification date
- Feb 20, 2025
- Last updated
- Feb 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.191596 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3500 Carnegie AveCleveland, OH 44115-2641
Phone 440-234-2006
Mailing address
343 W Bagley RdBerea, OH 44017-1370
Phone 440-260-6835
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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