Johnny R Ray Jr., LCSW-PIP, LAC, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1915 E 8TH St Ste 102
Sioux Falls, SD 57103-1865

Phone

(605) 271-7712

Fax

(605) 274-1557

NPI assigned

Mar 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1932295888
  Medicare reassignment NPD
• Restored to New Life Services, LLC

  • Community/Behavioral Health Agency
  • Sioux Falls, SD
  • NPI 1508496258
  NPD Authorized official
• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1508103243
  NPD
• Journey Counseling Services, LLC

  • Marriage & Family Therapist
  • Rapid City, SD
  • NPI 1790199594
  NPD (past)
• Indianapolis Treatment Center, LLC

  • Methadone Clinic
  • Indianapolis, IN
  • NPI 1275686123
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1487825261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E 8TH ST STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031865",
            "telephone_number": "605-789-9764",
            "fax_number": "605-274-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 E 8TH ST STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031865",
            "telephone_number": "605-271-7712",
            "fax_number": "605-274-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 E 46th St Ste J",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462052373",
            "country_code": "US",
            "telephone_number": "317-475-9066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "JOHNNY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW-PIP, LAC, QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "5004",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "4732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Rave
• Abby Raveling
• Jessica Lanae Rawson, OTR/L
• Scott Douglas Rawson, PA C
• Dana Robert Ray, D.P.M.
• Cheryl A Raysby-Park, ST
• Julie Raysby, MA
• Seyed Mostafa Razavi, MD
• Amanda Kristine Reamer, LPC-MH
• Reardon Dental Health

• Clinical Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.