Jody Marie Ray

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

01212-L Issued in NV

Practice address

104 Big Bend Ranch Road
Wadsworth, NV 89442

Phone

(775) 352-6840

NPI assigned

Apr 10, 2008

Last updated

Jan 28, 2010By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1245403112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 ROUGHING IT RD",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894039745",
            "telephone_number": "775-352-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BIG BEND RANCH ROAD",
            "city": "WADSWORTH",
            "state": "NV",
            "postal_code": "89442",
            "telephone_number": "775-352-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JODY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01212-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SUBSTANCE ABUSE COUNSELOR",
            "identifier": "01212-L",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Davis Jr.
• Sandra Gaye Delehanty, PH.D.
• DHHS, IHS, Phoenix Area, Nevada Skies Youth
• James Christopher Hughes, LCSW
• Janieva Lucas
• Tiffany Ward
• Darla Wilson

• Addiction (Substance Use Disorder) Counselor in Wadsworth, NV
• Providers in Wadsworth, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.