Active NPI
Karen Lynn Ray, MSC, LPC
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1467943340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-17172
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14223751 | Other | AZ | CAQH CIGNA PROVIDER ID |
| 101YP2500X | Other | AZ | TAXONOMY 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17172 | AZ | MD | Professional 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.