MEDICARE: GINA ANN RAY/GINA RAY COU RAY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC.0019526	CO

General Provider Information

NPI Number	:	1336081090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA ANN RAY/GINA RAY COU RAY LPC

Provider Business Mailing Address
First Line	:	2450 ROBIN SONG CT
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-4734
Country	:	US
Telephone Number	:	303-305-9773
Fax Number	:	303-795-6112

Provider Business Practice Location Address
First Line	:	7173 S HAVANA ST STE 100-34
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-3891
Country	:	US
Telephone Number	:	303-305-9773
Fax Number	:	303-795-6112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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