Individual provider Active NPI

Kashanda Smith Ray, LPC

  • Counselor
  • Greensboro, NC
National Provider Identifier
1578704326
Registry record updated Mar 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7205 Issued in NC
Practice address
1301 Carolina St
Suite 114
Greensboro, NC 27401-1032
Phone
(336) 272-1200
NPI assigned
Mar 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7205 NC Primary

Addresses

Primary practice location

1301 Carolina St
Suite 114
Greensboro, NC 27401-1032

Mailing address

3 Vodington Cir
Greensboro, NC 27405-9727
Phone (318) 235-7469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250430001518 NC Practitioner - Mental Health Counselor 2961928106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Montview Way
Centerville, GA 31028-8055

134 N 4TH St Ofc
Suite 2010
Brooklyn, NY 11249-3296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7205NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Valera Medical, P.C. Counselor CurrentSince Sep 1, 2025 Accepting new patients
Open Mind Mental Health Physicians, Inc. CurrentSince Apr 21, 2025 Accepting new patients
Famiily Solutions, PLLC Past Accepting new patients

Locations

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • Direct secure messaging: kashandasmithray@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1236384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236384000000",
    "number": "1578704326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VODINGTON CIR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274059727",
            "telephone_number": "318-235-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CAROLINA ST",
            "address_2": "SUITE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011032",
            "telephone_number": "336-272-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KASHANDA",
        "middle_name": "SMITH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-07",
        "last_updated": "2009-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.