Active NPI
Rebecca A Wray, LPC
- Professional Counselor
- Elizabethtown, NC
National Provider Identifier
1285688606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1006
- Practice address
- 400 Mercer Mill Rd
Elizabethtown, NC 28337-3951 - Phone
- (910) 862-6263
- NPI assigned
- May 20, 2006
- Last updated
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 1006 | NC | Primary |
Addresses
Primary practice location
400 Mercer Mill Rd
Elizabethtown, NC 28337-3951
Mailing address
1595 Old Lumberton Rd
Whiteville, NC 28472-9082
Phone (910) 640-9685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102894 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1285688606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 OLD LUMBERTON RD",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284729082",
"telephone_number": "910-640-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MERCER MILL RD",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283373951",
"telephone_number": "910-862-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "REBECCA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "1006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102894",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.