Active NPI
Kenneth Albert Ray, DBH, MED
- Psychoanalyst
- Ashland, KY
National Provider Identifier
1659415750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- LH00011229
- Practice address
- 4200 Woodhaven CT
Ashland, KY 41102-5781 - Phone
- (606) 694-3031
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | LH00011229 | WA | Primary |
Addresses
Primary practice location
4200 Woodhaven CT
Ashland, KY 41102-5781
Mailing address
PO Box 1481
Ashland, KY 41105-1481
Phone (606) 694-3031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-4220408 | Other | IRS | |
| 274220406 | Other | IRS |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00011229 | WA | MD | Psychoanalyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferry County Counseling Services | Past | Accepting new patients | |
| Ferry County Counseling Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Republic, WA
- NPI 1376686188
-
- Community/Behavioral Health Agency
- Republic, WA
- NPI 1669562047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1659415750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1481",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051481",
"telephone_number": "606-694-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WOODHAVEN CT",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411025781",
"telephone_number": "606-694-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "KENNETH",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "DBH, MED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "WA",
"license": "LH00011229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "27-4220408",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "274220406",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.