Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Jean Gray, MS, LPC, CM

Individual provider Mental Health Counselor · NPI 1629110853

Kimberly Jean Gray, MS, LPC, CM is a Mental Health Counselor in Eugene, Oregon. Qualified in 2005, 21 years ago. Practices with Bandon Community Health Center, a 5-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Licensed in
OR
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2650 Suzanne Way Ste 120
Eugene, OR 97408-7619
Phone: (541) 345-2800
Fax: (541) 345-4419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C6574 (OR)

Record details

NPI number1629110853
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC , CM
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Bandon Community Health Center — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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