NPIMap

Organization Active NPI

Erica Ray, Inc

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1124460902
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.005055 Issued in IL
Legal business name
ERICA RAY, INC
Practice address
15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162
Phone
(708) 769-2097
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Erica Ray, MA
Title
Therapist
Phone
(708) 769-2097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.005055 IL Primary

Addresses

Primary practice location

15010 S Ravinia Ave
Suite 15
Orland Park, IL 60462-3162

Mailing address

3844 Marilyn Dr
Richton Park, IL 60471-1286

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1124460902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 MARILYN DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE",
            "address_2": "SUITE 15",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623162",
            "telephone_number": "708-769-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA RAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-769-2097",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.