Individual provider Active NPI

Meredith J Ray, MA, LMHC

  • Professional Counselor
  • Albany, OR
National Provider Identifier
1033613245
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
315 4TH Ave SW
Albany, OR 97321-2338
Phone
(541) 967-3866
Fax
(541) 924-6905
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

315 4TH Ave SW
Albany, OR 97321-2338

Mailing address

PO Box 100
Albany, OR 97321-0031
Phone (541) 967-3866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124004570 OR Practitioner - Mental Health Counselor 1951754043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LinnGroup PAC ID 7911984638, 25 clinicians

Practice addresses (Care Compare)

2730 Pacific Blvd SE
Linn County Mental Health Services
Albany, OR 97321-5075
Phone (541) 967-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
County of Linn CurrentSince Jan 1, 2024 Accepting new patients
County of Linn CurrentSince Jan 1, 2024 Accepting new patients

Locations

2730 Pacific Blvd SE
Albany, OR 97321

315 4th Ave SW
Albany, OR 97321

445 3rd Ave SW
Albany, OR 97321
Phone (541) 924-6916

445 3rd Ave SW
#H
Albany, OR 97321

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1033613245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210031",
            "telephone_number": "541-967-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 4TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212338",
            "telephone_number": "541-967-3866",
            "fax_number": "541-924-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MEREDITH",
        "middle_name": "J",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.