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

Mr. Jordan Robert Gray, PROCOUNSELOR

Individual provider Professional Counselor · NPI 1235414350

Mr. Jordan Robert Gray, PROCOUNSELOR is a Mental Health Counselor in Provo, Utah. Qualified in 2010, 16 years ago. Practices with Wasatch Behavioral Health Special Service District, a 82-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Licensed in
UT
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

151 S University Ave Ste 1500
Provo, UT 84601-4427
Phone: (801) 851-7112
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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 7903342-6004 (UT)
Professional Counselor Taxonomy 101YP2500X · Licence 7903342-6009 (UT)

Record details

NPI number1235414350
Entity typeIndividual (Type 1)
GenderMale
Credentials PROCOUNSELOR
Sole proprietorNo
NPI enumeratedOctober 20, 2011
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Wasatch Behavioral Health Special Service District — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Provo