NPIMap

Organization Active NPI

Andra Ray

  • Professional Counselor
  • Wichita Falls, TX
National Provider Identifier
1114144482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13713 Issued in TX
Legal business name
ANDRA RAY
Practice address
4728 Neta LN
Hope Center for Christian Counseling
Wichita Falls, TX 76302-3416
Phone
(940) 767-4673
Fax
(940) 549-2886
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andra Ray, LPCNPI 1790725323
Title
Owner
Phone
(940) 549-2259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 14450 TX
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 13713 TX Primary

Addresses

Primary practice location

4728 Neta LN
Hope Center for Christian Counseling
Wichita Falls, TX 76302-3416

Mailing address

617 3Rd St
Graham, TX 76450-3101
Phone (940) 549-2259

Other identifiers 1

IdentifierTypeStateIssuer
0008DZOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Ray and Ray Counseling Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Andra Ray2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4728 Neta Ln
Wichita Falls, TX 76302
Phone (940) 767-4673

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114144482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 3RD ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503101",
            "telephone_number": "940-549-2259",
            "fax_number": "940-549-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 NETA LN",
            "address_2": "HOPE CENTER FOR CHRISTIAN COUNSELING",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763023416",
            "telephone_number": "940-767-4673",
            "fax_number": "940-549-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRA RAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-549-2259",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14450",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0008DZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray and Ray Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.