Carson Mariella Ray, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12289A Issued in NC

Practice address

447 Lily Pad LN
Flat Rock, NC 28731-9503

Phone

(855) 654-8178

NPI assigned

Apr 21, 2021

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1427630375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 265",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 LILY PAD LN",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319503",
            "telephone_number": "855-654-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CARSON",
        "middle_name": "MARIELLA",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12289A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12289A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Presley, LCSW
• Natalie Paige Pressley
• Charlynne Freeman Price, AGNP
• Stacy L Pyburn, PA-C
• Miteshbhai J Raval, NP
• Ginny M Rockenbaugh, RD
• Jamie Lee Rouse, AGNP-C
• Emily Rogers Sawyer, M.D.
• Lorraine M Schwartz, GNP
• Jacqueline Marie Selph, M.D.

• Marriage & Family Therapist in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.