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1972265429 NPI number — JAMAYLA MARIE GRAY APCC

NPI Number: 1972265429
Health Care Provider/Practitioner: JAMAYLA MARIE GRAY APCC

Information about “1972265429” NPI (JAMAYLA MARIE GRAY APCC) exists in 1972265429 in HTML format HTML  |  1972265429 in plain Text format TXT  |  1972265429 in PDF (Portable Document Format) PDF  |  1972265429 in an XML format XML  formats.

NPI Number : 1972265429 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972265429",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRAY",
    "FirstName": "JAMAYLA",
    "MiddleName": "MARIE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "APCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WELCH",
    "OtherFirstName": "JAMAYLA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LPCC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 950295",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MISSION HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91395-0295",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-743-6865",
    "MailingAddressFaxNumber": "661-793-6877",
    "FirstLinePracticeLocationAddress": "21535 ROSCOE BLVD APT 127",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CANOGA PARK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91304-4157",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-743-6865",
    "PracticeLocationAddressFaxNumber": "661-793-6877",
    "EnumerationDate": "10/12/2021",
    "LastUpdateDate": "08/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "APCC6972",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LPCC19851",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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