Brenda Marie Ray, MRC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P0107025 Issued in AR

Practice address

106 East Third St
Imboden, AR 72434

Phone

(870) 869-1500

Fax

(870) 869-1500

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Cornerstone Community Counseling Corp

  • Psychologist
  • Imboden, AR
  • NPI 1346463353
  Authorized official Same address or phone

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1164620381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CHARLES ST",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "724349004",
            "telephone_number": "870-869-1500",
            "fax_number": "870-869-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 EAST THIRD ST",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "72434",
            "telephone_number": "870-869-1500",
            "fax_number": "870-869-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "credential": "MRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0107025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Prater
• Tammy Ann Pratt, MHPP
• Lugene Rackley, LPC
• Sissy Nicole Ratliff-Seamans, MHPP
• Amy Dawn Ray, MHPP
• Angela Marie Roberts, MHPP
• Ashley Michelle Saylors
• Sloan-Hendrix School District
• Austin Smith, MHPP
• Spring River Clinic, LLC

• Professional Counselor in Imboden, AR
• Providers in Imboden, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.