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

Mr. Henry R. Gray

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033557111

Mr. Henry R. Gray is a Mental Health Counselor in Venice, California. Qualified in 2014, 12 years ago. Practices as a sole proprietor.

Years since qualifying
12
In the registry since
2013

Practice location Address checks out

503 Ocean Frnt Walk
Venice, CA 90291-2403
Phone: (310) 392-3070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1033557111
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 11, 2013
Last updated in NPPESSeptember 21, 2023
Mailing address531 N Hollywood Way # A266, Burbank, CA 91505-4977

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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