Active NPI
Andra Leigh Ray, ARNP, PMHNP-BC, LPC
- Psychiatric/Mental Health Nurse Practitioner
- Graham, TX
National Provider Identifier
1790725323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1140635
- Practice address
- 617 3Rd St
Graham, TX 76450-3101 - Phone
- (940) 549-2259
- Fax
- (940) 549-2886
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1140635 | TX | Primary |
| Professional Counselor | 101YP2500X | 13713 | TX |
Addresses
Primary practice location
617 3Rd St
Graham, TX 76450-3101
Mailing address
617 3Rd St
Graham, TX 76450-3101
Phone (940) 549-2259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027311203 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108003827 | TX | Practitioner - Nurse Practitioner | 4385095033 | Practice locations: Graham, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
617 3Rd St
Graham, TX 76450-3101
Phone (940) 549-2259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13713 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andra Ray | Professional | Current | Accepting new patients |
| Ray and Ray Counseling Services | Professional | Current | Accepting new patients |
Locations
617 3rd St
Graham, TX 76450
Phone (940) 549-2259
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.
-
- Professional Counselor
- Wichita Falls, TX
- NPI 1114144482
-
- Psychiatric/Mental Health Nurse Practitioner
- Graham, TX
- NPI 1841415650
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1790725323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 3RD ST",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764503101",
"telephone_number": "940-549-2259",
"fax_number": "940-549-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 3RD ST",
"city": "GRAHAM",
"state": "TX",
"postal_code": "764503101",
"telephone_number": "940-549-2259",
"fax_number": "940-549-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "ANDRA",
"middle_name": "LEIGH",
"credential": "ARNP, PMHNP-BC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1140635",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "13713",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027311203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Graham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.