Andrea Ray, LMHC, SUDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00007805 Issued in WA

Practice address

7409 W Grandridge Blvd Ste 101
Kennewick, WA 99336-6710

Phone

(208) 503-3698

Fax

(509) 357-8646

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1831242908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 W GRANDRIDGE BLVD STE 101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366710",
            "telephone_number": "509-554-6721",
            "fax_number": "509-357-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 W GRANDRIDGE BLVD STE 101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366710",
            "telephone_number": "208-503-3698",
            "fax_number": "509-357-8646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2715 Saint Andrews Loop",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993013386",
            "country_code": "US",
            "telephone_number": "509-412-1051",
            "fax_number": "509-412-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00002514",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980267",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David James Rapoza, RN
• Lisa Rapp, FNP
• Deseree Nicole Rask
• Anja Rasmussen
• Rashmi Ravindranath, M.SC, CCC-SLP
• Terry William Ray, LMP
• Raymond H Sjerven DO
• Juan Ismael Razo, DO
• Luis Razo, FNP-BC
• RCCH Trios Health LLC

• All providers in Kennewick, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.