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MR. KELLY S. WRAY LADC CANDIDATE
NPI 1013291525
Counselor - Addiction (Substance Use Disorder) in Norman, OK

Active since October 03, 2011PECOS EnrolledAccepts Medicare Assignment
15951 LITTLE AXE DR, NORMAN, OK 73026(405) 447-0300 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, May 27, 2022, Feb 16, 2016 (3 updates tracked since 2016).

About Mr. Kelly S. Wray Ladc Candidate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KELLY S. WRAY LADC CANDIDATE (NPI 1013291525) is an individual addiction (substance use disorder) provider in Norman, Oklahoma and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013291525
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KELLY S. WRAYCredential: LADC CANDIDATE
Location Address15951 LITTLE AXE DRNorman, OK 73026-9088
Mailing Address15951 Little Axe DrNorman, OK 73026-9088 · (405) 447-0300
Phone(405) 447-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2011
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1013291525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
15951 LITTLE AXE DR, Norman, OK 73026
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115702 E State Highway 9Norman, OK 73026-9028 · Phone (405) 447-0300
Location 22029 Gordon Cooper DrShawnee, OK 74801-9005 · Phone (405) 878-5850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kelly S. Wray Ladc Candidate is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608361506
PECOS Enrollment IDI20251218001189
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Wray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Absentee Shawnee Tribal Health Authority, Inc.
Same address
Multi-Specialty
15951 LITTLE AXE DR
Norman, OK 73026
  • Reassigned Medicare billing, Oklahoma enrollment
  • 86 clinicians in this Medicare group
NPI 1124152962 (405) 447-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIMEI YANG MD
Psychiatry & Neurology (Psychiatry)
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 447-0300
MARTIN DEE O'DONNELL O.D.
Optometrist
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 447-0300
SAMANTHA BOLLINGER LPC
Counselor (Professional)
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 698-4455
REBEKAH ANN HAMEL
Nurse Practitioner (Family)
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 447-0300
KATHRYN J LOFGREN M.D.
Family Medicine
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 447-0300
KYLE JOSEPH GLANDER PT
Physical Therapist
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 447-0300
DOUGLAS STEPHEN SOUTHERN PHD
Psychologist
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 447-0300
VICTORIA SALAMY-SULLINS PA-C
Physician Assistant
15951 LITTLE AXE DR
NORMAN, OK 73026
Cleveland County (405) 447-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wray's NPI number?

The NPI number for Kelly Wray is 1013291525. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Where is Kelly Wray located?

Kelly Wray practices at 15951 Little Axe Dr, Norman, OK 73026. The listed phone number is (405) 447-0300.

What is Kelly Wray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelly Wray enrolled in Medicare?

Yes. Kelly Wray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Wray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wray reassigns Medicare benefits to Absentee Shawnee Tribal Health Authority, Inc. (Norman, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Wray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Wray accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kelly Wray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wray was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.