Samantha Jo Bray, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.183598 Issued in OH

Practice address

2100 Stella CT
Columbus, OH 43215-1011

Phone

(614) 252-8402

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha J McKenzie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Alvis Inc

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1386993350
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1184496960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STELLA COURT",
            "address_2": "LENORA ISAACS",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151011",
            "telephone_number": "614-252-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STELLA CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151011",
            "telephone_number": "614-252-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.183598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MCKENZIE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hilary L Bray, LISW
• Kameron Bray
• Lezlie Jo Bray
• Marcus Bray, LPN
• Mark A Bray
• Taurus Bray
• Patrick Alan Brayfield, AT, MS, CSCS
• Philip Joseph Brazalovich Jr., ATC
• BRD Management
• Bre Unified Medical Logistics

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.