Wendy Boring-Bray, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC7701 Issued in CA

Practice address

26040 Acero Ste 207
Mission Viejo, CA 92691-2768

Phone

(949) 562-8004

NPI assigned

Oct 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Wendy Bray Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Diversified Behavioral Health, a Professional Clinical Counselor Corpo

  • Mental Health Counselor
  • Mission Viejo, CA
  • NPI 1598365942
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD
• Hannibal Regional Hospital

  • Adult Mental Health Clinic/Center
  • Hannibal, MO
  • NPI 1225382435
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1699028134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926290224",
            "telephone_number": "949-562-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26040 ACERO STE 207",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912768",
            "telephone_number": "949-562-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 Highway 61 Ste A",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016588",
            "country_code": "US",
            "telephone_number": "573-629-3370",
            "fax_number": "573-406-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORING-BRAY",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012013277",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC7701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BRAY",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandra Bond-Fulmer
• Danette Marie Bonfield Piantanida
• Bonpsy Wellness PC
• Brian Gregory Boone, D.P.T.
• Farzaneh Oveyssi Bordbar, LMFT
• Jesse Borke, M.D.
• Tara Bormand
• Monica Borschel, PHD, PSYD
• Rachel Jayne Bosemer, M.S. CCC-SLP
• Jacob Botros

• Professional Counselor in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.