Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERESA CHILDRES RAY MA, NCC, LPC
NPI 1215914742
Counselor - Professional in Gastonia, NC

Active since December 27, 2005Opted out of Medicare · through May 4, 2028
258 E GARRISON BLVD, GASTONIA, NC 28054(704) 861-8405(704) 865-0590 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Childres Ray Ma, Ncc, Lpc NPPES

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

TERESA CHILDRES RAY MA, NCC, LPC (NPI 1215914742) is an individual professional provider in Gastonia, North Carolina, licensed in North Carolina (2295) and active in the NPI registry since December 2005. She has opted out of Medicare through May 4, 2028.

NPPES Registry Identity

NPI1215914742
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTERESA CHILDRES RAYCredential: MA, NCC, LPC
Location Address258 E GARRISON BLVDGastonia, NC 28054-0460
Mailing AddressPo Box 3984Gastonia, NC 28054-0020 · (704) 861-8405 · Fax (704) 865-0590
Fax(704) 865-0590
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1215914742 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 NC · 2295
258 E GARRISON BLVD, Gastonia, NC 28054

Other Names 1

Professional Name (2)Terri C Ray Ma, Ncc, Lpc

Other Identifiers 7

OtherB4131NC · Medcost.doc Id #
Medicaid6005064NC
Other0258GNC · Bcbs Group Pin
Other1039ENC · Bcbs Provider Pin
Medicaid6102251NC
Other7433388NC · Aetnagroupbehpin
Other7361114NC · Aetna Beh.health Pin

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Teresa Childres Ray Ma, Ncc, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 4, 2024 through May 4, 2028.

Opt-Out Effective DateMay 4, 2024
Opt-Out In Effect ThroughMay 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Behavior Technician
258 E GARRISON BLVD
GASTONIA, NC 28054
Behavior Technician
258 E GARRISON BLVD
GASTONIA, NC 28054
Behavior Technician
258 E GARRISON BLVD
GASTONIA, NC 28054
Behavior Technician
258 E GARRISON BLVD
GASTONIA, NC 28054
Behavior Technician
258 E GARRISON BLVD
GASTONIA, NC 28054
Behavior Technician
258 E GARRISON BLVD
GASTONIA, NC 28054
Counselor
258 E GARRISON BLVD, WATER TOWER PLACE
GASTONIA, NC 28054
Behavior Technician
258 E GARRISON BLVD
GASTONIA, NC 28054

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 Teresa Ray's NPI number?

The NPI number for Teresa Ray is 1215914742. It was assigned to this individual provider in the NPPES registry on December 27, 2005. The provider is also known as Terri C Ray Ma, Ncc, Lpc.

Where is Teresa Ray located?

Teresa Ray practices at 258 E Garrison Blvd, Gastonia, NC 28054. The listed phone number is (704) 861-8405.

What is Teresa Ray's specialty?

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

Is Teresa Ray enrolled in Medicare?

No. Teresa Ray has opted out of Medicare through May 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Teresa Ray accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Teresa 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 Teresa Ray was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.