NPIMap

Organization Active NPI

Inez Kathleen Ray-Annis, MSW, P.S., Inc.

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1194003590
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INEZ KATHLEEN RAY-ANNIS, MSW, P.S., INC.
Practice address
9330 NE Vancouver Mall Drive
Suite 203
Vancouver, WA 98662
Phone
(360) 690-6550
Fax
(360) 253-6424
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Inez Kathleen Ray-Annis, LICSWNPI 1457482440
Title
President
Phone
(360) 690-6550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9330 NE Vancouver Mall Drive
Suite 203
Vancouver, WA 98662

Mailing address

9330 NE Vancouver Mall Drive
Suite 203
Vancouver, WA 98662
Phone (360) 690-6550

Other identifiers 2

IdentifierTypeStateIssuer
2003490MedicaidWA
1457482440OtherWAINDIVIDUAL NPI

Other names 1

  • Annis Counseling & Evaluation Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000942 WA Part B Supplier - Clinic/Group Practice 4486827623 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

9330 NE Vancouver Mall Dr
Ste 203
Vancouver, WA 98662
Phone (360) 690-6550

9407 NE Vancouver Mall Dr
#107
Vancouver, WA 98662

8000 NE Parkway Dr
Ste 200
Vancouver, WA 98662
Phone (360) 690-6550

9407 NE Vancouver Mall Dr
Ste 107
Vancouver, WA 98662
Phone (360) 690-6550

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1194003590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 NE VANCOUVER MALL DRIVE",
            "address_2": "SUITE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-690-6550",
            "fax_number": "360-253-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 NE VANCOUVER MALL DRIVE",
            "address_2": "SUITE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-690-6550",
            "fax_number": "360-253-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INEZ KATHLEEN RAY-ANNIS, MSW, P.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "RAY-ANNIS",
        "authorized_official_first_name": "INEZ",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-690-6550",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003490",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1457482440",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annis Counseling & Evaluation Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Annis Counseling & Evaluation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.