Active NPI
Gypsy S Ray, LCSW
- Clinical Social Worker
- Anaconda, MT
National Provider Identifier
1215210851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-1013
- Practice address
- 118 E 7TH St Ste 2D
Anaconda, MT 59711-2913 - Phone
- (406) 880-0977
- NPI assigned
- Sep 20, 2011
- Last updated
- Mar 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1013-LCSW | MT | |
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-1013 | MT | Primary |
Addresses
Primary practice location
118 E 7TH St Ste 2D
Anaconda, MT 59711-2913
Mailing address
88 Lakeshore Dr
Anaconda, MT 59711-9093
Phone (406) 880-0977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0517990 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.psychologytoday.com/us/therapists/mt/anaconda/189050?sid=5c88042686e0a&ref=1&tr=ResultsN | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
18 Cedar St
Anaconda, MT 59711-2308
Phone (406) 880-0977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013-LCSW | MT | MD | Clinical Social Worker |
| BBH-LCSW-LIC-1013 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gypsy Ray LCSW LLC | Clinical | Current | Accepting new patients |
Locations
118 E 7th St
Ste 2D
Anaconda, MT 59711
Phone (406) 200-8068
18 Cedar St
Anaconda, MT 59711
Phone (406) 529-1104
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Anaconda, MT
- NPI 1841753522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1215210851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LAKESHORE DR",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597119093",
"telephone_number": "406-880-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E 7TH ST STE 2D",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597112913",
"telephone_number": "406-880-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "GYPSY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-20",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "1013-LCSW",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-1013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0517990",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.psychologytoday.com/us/therapists/mt/anaconda/189050?sid=5c88042686e0a&ref=1&tr=ResultsN",
"affiliation": "N",
"endpointDescription": "secure website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "referrals and patient communication",
"address_1": "118 E 7th St Ste 2D",
"city": "Anaconda",
"state": "MT",
"country_code": "US",
"postal_code": "597112913",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Anaconda, MT
- Kerianne Ruth Poskaitis, CRNA
- Premise Health of Montana Medical PC (Montana Anaconda Health Center)
- Providence Health & Services Mt (Providence Medical Group Montana)
- Elizabeth Xenia Quint, D.C.
- Anne M Rabern
- Cynthia Jean Reed, FNP
- Rehab Department
- Reiter Foundation
- William M Reiter, MD
- Emily Rice, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.