Ray Edward Cammack, M. ED., LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-3129 Issued in ID

Practice address

1835 S Marsh Wood PL
Meridian, ID 83642-7457

Phone

(208) 420-5380

NPI assigned

Oct 5, 2005

Last updated

Mar 23, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Azure Stone Mental Health and Wellness LLCGroup PAC ID 5991242059, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Azure Stone Mental Health & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
  • NPI 1922879394

  Counselor

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1528055399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 S MARSH WOOD PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427457",
            "telephone_number": "208-420-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S MARSH WOOD PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427457",
            "telephone_number": "208-420-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMACK",
        "first_name": "RAY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "M. ED., LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "LCPC-3129",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3129",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-3129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861500035",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Callender, LCPC
• Gregory B Callis, D.C.
• Michael Craig Callis, D.C.
• Aaron Robert Calvano, RDN
• Allison L Calverley, BS
• John W Cammann, DMD
• Michael M Cammann, DMD
• Andrew Scot Campbell
• Jennifer Campbell, RPH
• Pam Campbell, CADC

• Mental Health Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.