Active NPI
Erica M Ray, MA
- Counselor
- Matteson, IL
National Provider Identifier
1104156660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.005055
- Practice address
- 600 Holiday Plaza
Suite 400
Matteson, IL 60443 - Phone
- (708) 679-9137
- NPI assigned
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.005055 | IL | Primary |
Addresses
Primary practice location
600 Holiday Plaza
Suite 400
Matteson, IL 60443
Mailing address
600 Holiday Plaza
Suite 400
Matteson, IL 60443
Phone (708) 679-9137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.005055 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1104156660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HOLIDAY PLAZA",
"address_2": "SUITE 400",
"city": "MATTESON",
"state": "IL",
"postal_code": "60443",
"telephone_number": "708-679-9137",
"fax_number": "708-503-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HOLIDAY PLAZA",
"address_2": "SUITE 400",
"city": "MATTESON",
"state": "IL",
"postal_code": "60443",
"telephone_number": "708-679-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "ERICA",
"middle_name": "M",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.005055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matteson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.