Patricia A Ray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14900835 Issued in IL

Practice address

300 S Broadway Ave
Ste 110 a
Urbana, IL 61801-3449

Phone

(217) 954-1128

Fax

(217) 954-1514

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IL

  Medicare reassignment Care Compare group NPD
• P.a.T.S. Prevention and Treatment Services

  • Clinical Social Worker
  • Urbana, IL
  • NPI 1295132728
  NPD (past) Authorized official
• Hall Melchi LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Urbana, IL
  • NPI 1033933106
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1467523118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ARCADIA DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618202603",
            "telephone_number": "217-766-9132",
            "fax_number": "217-954-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY AVE",
            "address_2": "STE 110 A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013449",
            "telephone_number": "217-954-1128",
            "fax_number": "217-954-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "14900835",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "14900835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203596683001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haleem J Rasool, MD
• Taryn A Rawdin, NP
• Nicholas Alexander Rawson, DO
• Nicholas Ray, DMD
• Partha S Ray, MD
• Vanessa B Ream, LCSW
• Janelle Rear, DNP, APRN, CRNA
• Katherine Rebman, NP
• Recovery Concepts Urbana, LLC
• Sukhila Baddam Reddy

• Clinical Social Worker in Urbana, IL
• Providers in Urbana, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.