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Charles Allan Ray , BA, R-AAC, SUDPT

Counselor β€’ Centralia, WA

Active NPI 1275287997 Individual Practitioner Male Practitioner
Practice location in NPPES

1126 S Gold St
Centralia, WA 985313768

Call 3608074929 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1126 S Gold St

Centralia, WA 985313768

Telephone 3608074929
Fax 3608074160
Organization at the Same NPPES Address or Phone
Core Health Facility NPI 1639693781

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Centralia and Washington

167 active clinicians are listed under Counselor with a practice address in Centralia, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Centralia

0% of these 167 clinicians have the CMS telehealth indicator.

0% of these 167 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG61581772

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES WA CO61245810
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 02, 2024

Registered at 1126 S GOLD ST, CENTRALIA, WA 985313768 (Tel: 3608074929)

πŸ“
Updated Business Mailing Address July 02, 2024

Registered at PO BOX 2394, LONGVIEW, WA 986328455 (Tel: 3602005419)

πŸ‘€
Provider Name / Credentials Updated July 02, 2024

Recorded as CHARLES RAY, BA, R-AAC, SUDPT

βœ…
NPI Profile Active February 10, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 10, 2022

Registered at 727 N TOWER AVE, CENTRALIA, WA 985314754 (Tel: 3608271521)

πŸ“
Business Mailing Address (Initial Record) February 10, 2022

Registered at PO BOX 144, CENTRALIA, WA 985310144

πŸ‘€
Provider Name / Credentials (Initial Record) February 10, 2022

Recorded as CHARLES RAY, CO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Counselor (license number reported to NPPES: WA CO61245810)

🟒
Initial NPI Registration & Enumeration February 10, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275287997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2022
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

Po Box 2394

Longview, WA 986328455

Phone: 3602005419

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.