Active NPI
Vicki A Ray, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1831341031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62412
- Practice address
- 4131 Spicewood Springs Rd Ste L4
Austin, TX 78759-8652 - Phone
- (512) 663-6368
- NPI assigned
- Oct 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62412 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste L4
Austin, TX 78759-8652
Mailing address
14614 Gold Fish Pond Ave
Austin, TX 78728-5419
Phone (512) 663-6368
Other practice location 1
1970 Rawhide Dr
Suite 204
Round Rock, TX 78681-6957
Phone (512) 663-6368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 22, 2024 through Jul 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62412 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1831341031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14614 GOLD FISH POND AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787285419",
"telephone_number": "512-663-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE L4",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598652",
"telephone_number": "512-663-6368"
}
],
"practiceLocations": [
{
"address_1": "1970 Rawhide Dr",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786816957",
"country_code": "US",
"telephone_number": "512-663-6368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "VICKI",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.