Individual provider Active NPI

Karen Lynn Ray, MSC, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1467943340
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17172 Issued in AZ
Practice address
2111 E Baseline Rd Ste E3
Tempe, AZ 85283-1518
Phone
(480) 296-3606
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-17172 AZ Primary

Addresses

Primary practice location

2111 E Baseline Rd Ste E3
Tempe, AZ 85283-1518

Mailing address

2111 E Baseline Rd Ste E3
Tempe, AZ 85283-1518
Phone (480) 296-3606

Other identifiers 2

IdentifierTypeStateIssuer
14223751OtherAZCAQH CIGNA PROVIDER ID
101YP2500XOtherAZTAXONOMY CODE

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

LicenseStateTypeSpecialty
LPC-17172AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1467943340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E BASELINE RD STE E3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831518",
            "telephone_number": "480-296-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E BASELINE RD STE E3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831518",
            "telephone_number": "480-296-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "MSC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH CIGNA PROVIDER ID",
            "identifier": "14223751",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "101YP2500X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.