Active NPI
Teresa Childres Ray, MA, NCC, LPC
- Professional Counselor
- Gastonia, NC
National Provider Identifier
1215914742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2295
- Practice address
- 258 E Garrison Blvd
Gastonia, NC 28054-0460 - Phone
- (704) 861-8405
- Fax
- (704) 865-0590
- NPI assigned
- Dec 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2295 | NC | Primary |
Addresses
Primary practice location
258 E Garrison Blvd
Gastonia, NC 28054-0460
Mailing address
PO Box 3984
Gastonia, NC 28054-0020
Phone (704) 861-8405
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4131 | Other | NC | MEDCOST.DOC ID # |
| 6005064 | Medicaid | NC | |
| 0258G | Other | NC | BCBS GROUP PIN |
| 1039E | Other | NC | BCBS PROVIDER PIN |
| 6102251 | Medicaid | NC | |
| 7433388 | Other | NC | AETNAGROUPBEHPIN |
| 7361114 | Other | NC | AETNA BEH.HEALTH PIN |
Other names 1
- Terri C Ray
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 4, 2024 through May 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2295 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Hospice | Past | Accepting new patients | |
| Hospice of Gaston County, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counselor
- Gastonia, NC
- NPI 1184647638
-
- Community Based Hospice Care Agency
- Gastonia, NC
- NPI 1821097916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215914742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3984",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540020",
"telephone_number": "704-861-8405",
"fax_number": "704-865-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 E GARRISON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280540460",
"telephone_number": "704-861-8405",
"fax_number": "704-865-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "TERESA",
"middle_name": "CHILDRES",
"credential": "MA, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST.DOC ID #",
"identifier": "B4131",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005064",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PIN",
"identifier": "0258G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER PIN",
"identifier": "1039E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102251",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNAGROUPBEHPIN",
"identifier": "7433388",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEH.HEALTH PIN",
"identifier": "7361114",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERRI",
"last_name": "RAY",
"middle_name": "C",
"credential": "MA, NCC, LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.