KAKA LYN RAY (NPI# 1811495807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811495807 |
Entity Type | Individual |
Full Name | KAKA LYN RAY |
Credential | LMFT |
Practice Address |
5409 Maryland Way Ste 305 Brentwood TN 37027-1035 |
Mailing Address |
6104 Bryan Pl Brentwood TN 37027-4935 |
Practice Telephone | 6155893879 |
Mailing Telephone | 6155680784 |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
0611 | TN | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
TN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NONE | NONE | 01 |
Street Address |
5409 MARYLAND WAY STE 305 |
City | BRENTWOOD |
State | TN |
Zip Code | 37027-1035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952631434 | Gigi Jefcoat Mcmurray | Nurse Practitioner | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2010-01-06 |
1285102582 | Stephen Lee Jackson | Marriage & Family Therapist | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2018-11-05 |
1316496136 | Eric Gott | Counselor | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2016-09-22 |
1235687914 | Julie Weaver | Marriage & Family Therapist | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2016-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
Find all providers in zip 37027 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992266456 | Eric Bottoms | Counselor | 5205 Maryland Way Ste 310, Brentwood, TN 37027-1006 | 2019-03-27 |
1689188518 | Sarah Rapisardo | Counselor | 2510 S Brentwood Blvd Ste 315, Brentwood, MO 63144-2329 | 2017-11-30 |
1699167551 | Mary Ann Sokolowski | Counselor | 9025 Overlook Blvd, Suite 200, Brentwood, TN 37027-2708 | 2015-03-02 |
1194134643 | Lisa Marie Hanson | Counselor | 8336 Brentwood Blvd, Brentwood, CA 94513-1113 | 2014-08-08 |
1922371749 | Brentwood Professional Group Inc. | Counselor | 200 Powell Place, Brentwood, TN 37027 | 2012-02-10 |
1003190216 | Nicole M Massari | Counselor | 1210 Central Blvd Ste 116, Brentwood, CA 94513-2360 | 2011-10-06 |
1710202494 | Terry L Shafer | Counselor | 7107 Crossroads Blvd, Suite 106, Brentwood, TN 37027-2805 | 2010-04-06 |
1144552746 | Sonja Fulmer | Counselor | 7100 Executive Center Dr, Suite 105, Brentwood, TN 37027-2100 | 2010-02-06 |
1720312556 | Michael M. Christian | Counselor | 7003 Chadwick Dr Ste 335, Brentwood, TN 37027-5282 | 2009-09-27 |
1629245667 | Patrice H Hinton Oswalt | Counselor | 100 Winners Cir N, Suite 120, Brentwood, TN 37027-5012 | 2008-05-09 |
Find all providers in BRENTWOOD |
Please comment or provide details below to improve the information on KAKA LYN RAY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.