Kathleen E Derby-Ray, MS, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC70088453 Issued in WA

Practice address

910 16TH Ave Ste 120
Longview, WA 98632-2374

Phone

(360) 200-5419

Fax

(844) 612-6673

NPI assigned

Mar 5, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Core Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, WA
  • NPI 1639693781
  NPD

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1932907805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2394",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986328455",
            "telephone_number": "360-200-5419",
            "fax_number": "844-612-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 16TH AVE STE 120",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322374",
            "telephone_number": "360-200-5419",
            "fax_number": "844-612-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBY-RAY",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "MS, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61660050",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC70088453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Victoria Delcambre, ARNP
• Brandi Renee Deleon, CNA
• Lisa Chelan Deleon, L.M.P.
• Amber S Delong
• Tori May Demyer, PHARMD
• Derenda Richardson
• Sara Derenge, ARNP
• Aleksis Desrosier
• Harrison H Detroja, MSN, PMHNP-BC
• David F Devidal, PHD

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.