Active NPI
Kenya R McCray, LISAC
- Mental Health Counselor
- Yuma, AZ
National Provider Identifier
1720388200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10480
- Practice address
- 290 S 1St Ave Ste 3
Yuma, AZ 85364-2260 - Phone
- (928) 344-9490
- Fax
- (480) 288-5339
- NPI assigned
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-10480 | AZ | |
| Mental Health Counselor | 101YM0800X | 10480 | AZ | Primary |
Addresses
Primary practice location
290 S 1St Ave Ste 3
Yuma, AZ 85364-2260
Mailing address
PO Box 3160
Apache Junction, AZ 85117-4115
Phone (928) 344-9490
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-10480 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 10480 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healing Joureny | Mental Health | Current | Accepting new patients |
| The Healing Joureny | Current | 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
- Yuma, AZ
- NPI 1164976924
-
- Mental Health Counselor
- Yuma, AZ
- NPI 1306369251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1720388200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3160",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851174115",
"telephone_number": "928-344-9490",
"fax_number": "480-288-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 S 1ST AVE STE 3",
"city": "YUMA",
"state": "AZ",
"postal_code": "853642260",
"telephone_number": "928-344-9490",
"fax_number": "480-288-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAY",
"first_name": "KENYA",
"middle_name": "R",
"credential": "LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10480",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "10480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.