Autumn N Ray, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021014958 Issued in MO

Practice address

8333 E Blue Pkwy
Kansas City, MO 64133-4750

Phone

(816) 474-7677

Fax

(816) 767-7671

NPI assigned

Jul 23, 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 names 1

• Autumn Neselroad Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brian a FidlerGroup PAC ID 1254565054, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brian a Fidler

  • Professional Counselor
  • Independence, MO
  • NPI 1346682994

  MO, Professional

  Medicare reassignment Care Compare group NPD
• Rise LLC

  • Mental Health Counselor
  • Raytown, MO
  • NPI 1083584742
  NPD Authorized official
• Preferred Family Healthcare, Inc

  • Community/Behavioral Health Agency
  • Kirksville, MO
  • NPI 1649474206

  MO

  Medicare reassignment

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1457924656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 E BLUE PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334750",
            "telephone_number": "816-474-7677",
            "fax_number": "816-767-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 NE 83rd St Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641194460",
            "country_code": "US",
            "telephone_number": "816-605-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "AUTUMN",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021014958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "NESELROAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Rauth-Farley
• Jamie Ravenscraft, PHARMD
• Scott M Ravis, M.D.
• Lillie Anne Rawie
• Kara Kylene Rawlins, RN
• Cortney Ray, PLPC, NCC
• Marianne C Ray, MD
• Rebecca Ray, LMSW
• Doris Jean Rayfield-Cravens, COF
• Latrina Rayfield

• All providers in Kansas City, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.