Kimberly Jean Gray, MS, LPC, CM
Kimberly Jean Gray is a Professional Counselor provider (Counselor) practicing in Eugene, OR, registered in the NPPES registry with NPI 1629110853 since 2007. The credential LPC stands for Licensed Professional Counselor. Practices at Amber Benson Pmhnp PC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629110853 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kimberly Jean Gray |
| Credential | MS, LPC, CM |
| Sex | Female |
| Practice address | 66 CLUB RD STE 160, Eugene, OR, 97401 |
| Phone | 5413451722 |
| Fax | 5414857049 |
| Enumeration date | 2007-02-13 |
| Last updated in NPPES | 2023-12-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Secondary | 21-QMHP-R-0833 | OR |
| 101YP2500X | Professional Counselor | Secondary | 3893 | OK |
| 101YP2500X | Professional Counselor | Primary | C6574 | OR |
LPC — Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3893 | Medicaid | OK | — |
| 500796814 | Medicaid | OR | — |
| 12140003 | Other | — | CAQH ID |
Copy-ready billing details
Provider: Kimberly Gray, MS, LPC, CM NPI: 1629110853 Taxonomy: 101YP2500X (Professional Counselor) Address: 66 CLUB RD STE 160, Eugene, OR, 97401
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306832647 | David Strain | Individual | Clinical Social Worker | Eugene, OR |
| 1487638201 | Amber Benson | Individual | Psychiatric/Mental Health Nurse Practitioner | Eugene, OR |
| 1255490645 | Christine Menager | Individual | Psychiatric/Mental Health Nurse Practitioner | Eugene, OR |
| 1912042862 | Amber Benson Pmhnp PC | Organization | Psychiatric/Mental Health Nurse Practitioner | Eugene, OR |
| 1124144340 | Susan Keller | Individual | Professional Counselor | Eugene, OR |
| 1891907580 | Suzanne Nieman | Individual | Psychiatric/Mental Health Nurse Practitioner | Eugene, OR |
| 1124224209 | Deborah Phillips | Individual | Psychiatric/Mental Health Nurse Practitioner | Eugene, OR |
| 1477702918 | Kimberly Whitney | Individual | Clinical Psychologist | Eugene, OR |
Verify this record
Cross-check NPI 1629110853 against the authoritative CMS record: view Kimberly Jean Gray on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1629110853 active?
How do I verify Kimberly Gray's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-28.