Individual provider Active NPI

Jeffrey Lewis Ray, MS, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1659516805
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3773 Issued in FL
Practice address
3320 Summit Blvd
Pensacola, FL 32503-4398
Phone
(850) 293-0702
NPI assigned
Dec 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH3773 FL Primary

Addresses

Primary practice location

3320 Summit Blvd
Pensacola, FL 32503-4398

Mailing address

3320 Summit Blvd
Pensacola, FL 32503-4398
Phone (850) 293-0702

Other practice location 1

8354 N Davis Hwy Ste 200
Pensacola, FL 32514-6584
Phone (850) 786-3236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240822002889 FL Practitioner - Mental Health Counselor 8426597493 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

4343 Langley Ave
Pensacola, FL 32504-8511
Phone (850) 430-3300

6984 Pine Forest Rd
Pensacola, FL 32526-8908
Phone (850) 430-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH3773FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Medical Services 1 PA CurrentSince Dec 3, 2025 Accepting new patients
Ljak Enterprises LLC Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Dec 3, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Dec 3, 2025 Accepting new patients
Brightside Health, Inc. CurrentSince Sep 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

910 Brookmeade Dr
Crestview, FL 32539
Phone (850) 398-5515

1849 E 1st Ave
Crestview, FL 32539
Phone (850) 333-9297

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

4513 Executive Dr
Fl 2
Naples, FL 34119

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

4343 Langley Ave
Pensacola, FL 32504
Phone (850) 430-3300

10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000

8354 N Davis Hwy
Ste 200
Pensacola, FL 32514
Phone (850) 516-5592

6984 Pine Forest Rd
Pensacola, FL 32526
Phone (850) 430-3400

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 5

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1659516805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SUMMIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034398",
            "telephone_number": "850-293-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SUMMIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034398",
            "telephone_number": "850-293-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8354 N Davis Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146584",
            "country_code": "US",
            "telephone_number": "850-786-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "JEFFREY",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.