MR. DAVID STEPHEN GRAY LCPC NPI 1649636077

NPI Information

  • NPI: 1649636077
  • Provider Name: MR. DAVID STEPHEN GRAY, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 20854 W GENOA AVE
    LAKE VILLA, IL
    ZIP 60046
  • Phone: (440) 714-8822

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NPI Details

MR. David Stephen Gray, LCPC is a professional counselor in Lake Villa, IL. MR. David Stephen Gray, LCPC NPI is 1649636077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20854 W GENOA AVE
LAKE VILLA, IL
ZIP 60046-957
Phone: (440) 714-8822

The enumeration date for this NPI number is 1/14/2016 and was last updated on 4/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional180011813ILLINOISYes
2101YP2500XCounselorProfessional178011708ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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