Harvetta K Ray, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254846 Issued in KY

Practice address

1426 S 28TH St
Louisville, KY 40211-1729

Phone

(502) 500-9443

Fax

(502) 632-1432

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Define You Counseling Services I Define Me

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1710595905
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1730797911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WINDMILL LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307426",
            "telephone_number": "502-500-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 S 28TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111729",
            "telephone_number": "502-500-9443",
            "fax_number": "502-632-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "HARVETTA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "1041C0700X",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aasmedicalcoding@outlook.com",
            "affiliation": "N",
            "address_1": "1205 Windmill Ln",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471307426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antonia Ray, RBT
• Brandilyn Ray
• Christina Marie Ray, OTR
• Corinne Ray, LPC
• Daniel Ray Jr., BACHELOR
• Jonathan Ray, M.D.
• Kate Oliver Ray, OD
• Kayla Leeann Ray, BSW
• Keith Leslie Ray, D.M.D.
• Kelly L Ray, FNP-C

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.