Caroline Maretha Ray, MA, LPC, NCC, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018585 Issued in MI

Practice address

5340 Holiday Ter Ste 13
Kalamazoo, MI 49009-2181

Phone

(269) 372-4140

NPI assigned

Jan 19, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Caroline Maretha Thomas Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, shared by 13 NPIs, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caroline.ray.1@28621.direct.athenahealth.com

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

• Optum Behavioral Care of Colorado, P.C.

  dba Perspectives Counseling Centers of Michigan

  • Clinical Psychologist
  • Troy, MI
  • NPI 1679343008
  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Child & Family Psychological Services of Michigan

  • Counseling Psychologist
  • Portage, MI
  • NPI 1922860170
  Medicare reassignment NPD
• Defining Moments Counseling & Consultation, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalamazoo, MI
  • NPI 1104417872
  NPD Authorized official

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1073103628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S LAUDERDALE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064348",
            "telephone_number": "269-352-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLIDAY TER STE 13",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092181",
            "telephone_number": "269-372-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CAROLINE",
        "middle_name": "MARETHA",
        "credential": "MA, LPC, NCC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "THOMAS",
            "middle_name": "MARETHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nick Rau, L.C.S.W
• Amy Beth Raubenolt, MD
• Rebecca Rausch, PH.D.
• Marissa Raven
• Bandana Rawal, BEHAVIOR TECHNICIAN
• Sarah Grace Ray, MD
• Steven Ray, D.M.D.
• Christine Ruth Raymond
• Jamie Raymond, CPSS
• Seth Michael Raymond, D.O

• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.