Active NPI
Brandy Ray, MA, LPC, RPT
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1407488307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018027685
- Practice address
- 2085 Bluestone Dr Ste 201
Saint Charles, MO 63303-6727 - Phone
- (636) 362-6944
- NPI assigned
- Feb 7, 2020
- 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 | 2018027685 | MO | Primary |
Addresses
Primary practice location
2085 Bluestone Dr Ste 201
Saint Charles, MO 63303-6727
Mailing address
27115 Courtney Place Cir
Warrenton, MO 63383-5662
Phone (636) 362-6944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 26, 2024 through Jan 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018027685 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1407488307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27115 COURTNEY PLACE CIR",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633835662",
"telephone_number": "636-362-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 BLUESTONE DR STE 201",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633036727",
"telephone_number": "636-362-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "BRANDY",
"credential": "MA, LPC, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018027685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.