Active NPI
Jamila Ray, M.A.
- Mental Health Counselor
- Dorchester, MA
National Provider Identifier
1790109296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 995 Blue Hill Ave
Dorchester, MA 02124-2828 - Phone
- (617) 822-0829
- NPI assigned
- Feb 5, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
995 Blue Hill Ave
Dorchester, MA 02124-2828
Mailing address
995 Blue Hill Ave
Dorchester, MA 02124-2828
Phone (617) 822-0829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Krieger Associates | Current | Accepting new patients | |
| Kennedy Krieger Associates | Current | Accepting new patients |
Locations
707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870
1741 Ashland Ave
Ste 642
Baltimore, MD 21205
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.
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1871515783
-
- Pediatrics Physician
- Middle River, MD
- NPI 1841009842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1790109296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021242828",
"telephone_number": "617-822-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021242828",
"telephone_number": "617-822-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JAMILA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.