Dr. Tara Gray, PhD
Counselor, Professional in Durango, CO. Individual provider (NPI-1).
NPI number1649637331
StatusActive
Last updated in NPPESMay 19, 2026
Details
- NPI
- 1649637331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tara Gray
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2016
- Certification date
- May 19, 2026
- Last updated
- May 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC.0012261 | CO | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | ACD.0002286 | CO |
Practice location
835 E 2nd Ave # 314bDurango, CO 81301-5475
Phone 970-769-9472
Mailing address
24 Engine Creek CtDurango, CO 81301-8593
Phone 970-769-9472
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