Maisie Grace Ray, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204731 Issued in TX

Practice address

6115 Camp Bowie Blvd
Fort Worth, TX 76116-5512

Phone

(817) 968-1905

Fax

(817) 612-3371

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1043042641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 298",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165508",
            "telephone_number": "817-968-1905",
            "fax_number": "817-612-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165512",
            "telephone_number": "817-968-1905",
            "fax_number": "817-612-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Stream Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761312623",
            "country_code": "US",
            "telephone_number": "903-424-2867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MAISIE",
        "middle_name": "GRACE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rawicki, M.D.
• Anish K Ray, MD
• Hannah Lenore Ray
• Kristian Ashley Ray, COTA
• Lauren Ariel Ray, CRNA
• Raney Ray, AU.D.
• Samantha Anderson Ray, PA-C
• Tamara Kay Ray, ANP-C
• Tammy Ray
• Rafael Andres Raya, MD

• Marriage & Family Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.