CAROLINE MARETHA RAY MA, LPC, NCC, ACS
NPI 1073103628
Counselor - Professional in Kalamazoo, MI

Active since January 19, 2021PECOS EnrolledAccepts Medicare Assignment
5340 HOLIDAY TER STE 13, KALAMAZOO, MI 49009(269) 372-4140 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2021, Feb 5, 2021, Jan 19, 2021 (3 updates tracked since 2021).

About Caroline Maretha Ray Ma, Lpc, Ncc, Acs NPPES

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

CAROLINE MARETHA RAY MA, LPC, NCC, ACS (NPI 1073103628) is an individual professional provider in Kalamazoo, Michigan, licensed in Michigan (6401018585) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073103628
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAROLINE MARETHA RAYCredential: MA, LPC, NCC, ACS
Location Address5340 HOLIDAY TER STE 13Kalamazoo, MI 49009-2181
Mailing Address108 S Lauderdale DrKalamazoo, MI 49006-4348 · (269) 352-6713
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 19, 2021
Last NPPES UpdateFebruary 9, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1073103628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401018585
5340 HOLIDAY TER STE 13, Kalamazoo, MI 49009

Other Names 1

Former Name (1)Caroline Maretha Thomas

Accepted 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

Caroline Maretha Ray Ma, Lpc, Ncc, Acs 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 ID2961853387
PECOS Enrollment IDI20240110003401
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 Caroline Ray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1662 E CENTRE AVE
Portage, MI 49002
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Colorado PC
  • Also billed through NPI 1619734969 (Michigan)
  • 7 clinicians in this Medicare group

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 6

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

Counselor (Professional)
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009
Psychologist (Counseling)
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009
Counselor (Professional)
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009
Marriage & Family Therapist
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009
Psychologist
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009
Psychologist
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009

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 Caroline Ray's NPI number?

The NPI number for Caroline Ray is 1073103628. It was assigned to this individual provider in the NPPES registry on January 19, 2021. The provider is also known as Caroline Maretha Thomas.

Where is Caroline Ray located?

Caroline Ray practices at 5340 Holiday Ter Ste 13, Kalamazoo, MI 49009. The listed phone number is (269) 372-4140.

What is Caroline Ray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Caroline Ray enrolled in Medicare?

Yes. Caroline Ray 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 Caroline Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Ray reassigns Medicare benefits to Optum Behavioral Care Of Colorado, P.C. (Portage, MI). 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 Caroline Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Ray accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Caroline Ray 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 Caroline Ray was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.