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Active NPI 1649636077 Individual Practitioner Male Practitioner

David Stephen Gray , LCPC

Counselor - Professional • Lake Villa, IL

Professional Overview & Biography Verified Profile Summary

David Gray, LCPC is a registered healthcare professional specializing in Counselor - Professional in Lake Villa, IL. Practice services are available at 20854 W GENOA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20854 W Genoa Ave

Lake Villa, IL 600468957

Telephone 4407148822
Associated Practice Facility / Clinic
🏢 David Gray P.c. Facility NPI 1306306378

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lake Villa, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Lake Villa, IL (9683 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180011813

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License IL 178011708

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address October 11, 2018

Registered at 22072 W ENGLE DR, LAKE VILLA, IL 600465411 (Tel: 4407148822)

👤
Provider Name / Credentials Updated October 11, 2018

Recorded as DAVID GRAY, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2018

Counselor (License #180011813 in IL)

✅
NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2016

Registered at 20854 W GENOA AVE, LAKE VILLA, IL 600468957 (Tel: 4407148822)

📍
Updated Business Mailing Address January 14, 2016

Registered at 20854 W GENOA AVE, LAKE VILLA, IL 600468957 (Tel: 4407148822)

👤
Provider Name / Credentials Updated January 14, 2016

Recorded as DAVID GRAY, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Counselor (License #178011708 in IL)

🟢
Initial NPI Registration & Enumeration January 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649636077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2016
Last Update: April 01, 2019
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

22072 W Engle Dr

Lake Villa, IL 600465411

Phone: 4407148822

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.