Individual provider Active NPI

Carolyn Elisabeth Ray, CAROLYN RAY, LCSW

  • Clinical Social Worker
  • Colleyville, TX
National Provider Identifier
1871801753
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
7137 Colleyville Blvd
Suite 101
Colleyville, TX 76034-6240
Phone
(817) 996-4599
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7137 Colleyville Blvd
Suite 101
Colleyville, TX 76034-6240

Mailing address

4017 Fairmont CT
Bedford, TX 76021-2753
Phone (817) 996-4599

Other practice location 1

15305 Dallas Pkwy Ste 1200
Addison, TX 75001-6423
Phone (972) 833-8535

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421003036 TX Practitioner - Clinical Social Worker 7517482649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeworks Counseling Center PLLCGroup PAC ID 4789100603, 3 clinicians

Practice addresses (Care Compare)

15305 Dallas Pkwy
Suite 1200
Addison, TX 75001-6423
Phone (972) 833-8535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Counseling Center PLLC Mental Health CurrentSince Apr 14, 2025 Accepting new patients

Locations

15305 Dallas Pkwy
Ste 1200
Addison, TX 75001
Phone (972) 833-8535

2625 N Josey Ln
Ste 250
Carrollton, TX 75007
Phone (972) 345-7451

17250 Dallas Pkwy
Dallas, TX 75248
Phone (214) 883-7041

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1871801753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 FAIRMONT CT",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212753",
            "telephone_number": "817-996-4599",
            "fax_number": "877-226-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7137 COLLEYVILLE BLVD",
            "address_2": "SUITE 101",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346240",
            "telephone_number": "817-996-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15305 Dallas Pkwy Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750016423",
            "country_code": "US",
            "telephone_number": "972-833-8535",
            "fax_number": "972-767-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "CAROLYN",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "CAROLYN RAY, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.