Individual provider Active NPI

Jeffery Bennett Ray, CO60538724

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, WA
National Provider Identifier
1962936161
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60671924 Issued in WA
Practice address
126 Auburn Ave Ste 300
Auburn, WA 98002-5082
Phone
(253) 735-0166
Fax
(253) 253-3222
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CO 60538724 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60671924 WA Primary

Addresses

Primary practice location

126 Auburn Ave Ste 300
Auburn, WA 98002-5082

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

1116 Summit Ave
Seattle, WA 98101-2831
Phone (206) 323-0930 ext. 1282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jray28275@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO 60538724WAMDCounselor
CP60671924WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1962936161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AUBURN AVE STE 300",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025082",
            "telephone_number": "253-735-0166",
            "fax_number": "253-253-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012831",
            "country_code": "US",
            "telephone_number": "206-323-0930 x1282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "JEFFERY",
        "middle_name": "BENNETT",
        "credential": "CO60538724",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CO 60538724",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60671924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jray28275@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "126 Auburn Ave Ste 300",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980025082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.