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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: July 26, 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
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Secondary Practice Locations 2

Location 12029 Gordon Cooper DrShawnee, OK 74801-9005 · Phone (405) 878-5850
Location 215702 E State Highway 9Norman, OK 73026-9028 · Phone (405) 447-0300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
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
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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.

What insurance does Kelly Wray accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health 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 with the weekly NPPES data releases published by CMS.