DR. ALICE MARIE GRAY PSYD
NPI 1164659975
Counselor - Mental Health in Idaho Falls, ID
NPI Status: Active since June 18, 2009
Contact Information
1740 E 17TH ST
IDAHO FALLS, ID
ZIP 83404
Phone: (310) 365-3762
Fax: (208) 529-3184
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About ALICE GRAY
This page provides the complete NPI Profile along with additional information for Alice Gray, a provider established in Idaho Falls, Idaho with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1164659975 assigned on June 2009. The practitioner's primary taxonomy code is 101YM0800X with license number LCPC -4606 (ID). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1164659975
- Provider Name
- DR. ALICE MARIE GRAY PSYD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1740 E 17TH ST IDAHO FALLS, ID 83404
- Location Phone
- (310) 365-3762
- Location Fax
- (208) 529-3184
- Mailing Address
- 1260 GARY ST BLACKFOOT, ID 83221
- Mailing Phone
- (310) 365-3762
- Mailing Fax
- (208) 529-3184
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-18-2009
- Last Update Date
- 11-18-2011
- Code Navigator
A mental health counselor like Alice Gray provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LCPC -4606
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Alice Gray is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. ALICE MARIE GRAY PSYD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 6 | 5 | 9 | 9 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 12 | 5 | 18 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 2 + 5 + 1 + 8 + 9 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1164659975 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861467375 | MANUEL SIERRA M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1740 E 17TH ST SUITE A IDAHO FALLS, ID 83404 (208) 346-7500 |
| 1285671677 | EVELYN HUOT LCSW Individual | Social Worker (Clinical) | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 522-8725 |
| 1194833111 | MS. MYRNA LEE P.A.-C Individual | Physician Assistant (Medical) | 1740 E 17TH ST SUITE A IDAHO FALLS, ID 83404 (208) 346-7500 |
| 1447351457 | LENDA SUE LANCASTER LCSW Individual | Social Worker (Clinical) | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 552-4958 |
| 1588848584 | MS. CHERISH A HAROLDSEN LSW2377 Individual | Social Worker | 1740 E 17TH ST SUITE B IDAHO FALLS, ID 83404 (208) 529-8832 |
| 1376790295 | MR. JARED DOTSON MCOUN, LPC, NCC Individual | Counselor (Mental Health) | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 529-8832 |
| 1558596023 | ADAM GARY EMFIELD BS Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1801021373 | JOLYNNE DIONE SHELTON BS Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1831320274 | MRS. ALISON SHAW BS Individual | Psychologist (Rehabilitation) | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1295059442 | JENNIE ELLEN DENNIS LSW Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1699099606 | MR. MATTHEW ALLEN BISHOP B.S. Individual | Psychologist (Rehabilitation) | 1740 E 17TH ST SUITE C IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1538478938 | SARAH WARREN Individual | Social Worker | 1740 E 17TH ST SUITE C IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1760783153 | PEARL GROUP HOMES Organization | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1740 E 17TH ST SUITE A IDAHO FALLS, ID 83404 (208) 346-7500 |
| 1689979387 | KELLY LAWRENCE M.ED. Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 346-7500 |
| 1811292915 | PEARL GROUP HOMES Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1740 E 17TH ST SUITE A IDAHO FALLS, ID 83404 (208) 346-7500 |
| 1831496751 | ERIC CHINN BA Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1043517691 | ROBERT HOMAN VOSE B.A. Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1538467345 | PHILIP EDWARD GARDNER BS Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 524-1278 |
| 1003106691 | LISA J RUSSOM LSW Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 313-8355 |
| 1255623781 | JAMES REX BLACKBURN BS Individual | Social Worker | 1740 E 17TH ST IDAHO FALLS, ID 83404 (208) 346-7500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164659975, enumerated in the NPI registry as an "individual" on June 18, 2009
The provider is located at 1740 E 17th St Idaho Falls, Id 83404 and the phone number is (310) 365-3762
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Aetna CVS Health, Mountain Health CO-OP and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 18, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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