Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fredianne Gray, LSWAIC

Individual provider Counselor · NPI 1659052470

Fredianne Gray, LSWAIC is a Mental Health Counselor in Lynnwood, Washington. Qualified in 2023, 3 years ago. Registered with an NPI since 2023.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

5108 196th St SW Ste 350 C/o Rxdx Medical Billing Services Llc Ste 310
Lynnwood, WA 98036-6169
Phone: (425) 582-2041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1659052470
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSWAIC
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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