LORI M BRAY PH D LLP
NPI 1386710317
Psychologist in Grand Rapids, MI

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
5250 NORTHLAND DRIVE, SUITE A, GRAND RAPIDS, MI 49525(616) 361-5001(616) 361-2166 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori M Bray Ph D Llp NPPES

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

LORI M BRAY PH D LLP (NPI 1386710317) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6301013416) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1386710317
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLORI M BRAYCredential: PH D LLP
Location Address5250 NORTHLAND DRIVE, SUITE AGrand Rapids, MI 49525-1040
Mailing Address5250 Northland Drive, Suite AGrand Rapids, MI 49525-1040 · (616) 361-5001 · Fax (616) 361-2166
Fax(616) 361-2166
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 1, 2007
✔ NPI 1386710317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6301013416
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5250 NORTHLAND DRIVE, Grand Rapids, MI 49525

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

Lori M Bray Ph D Llp 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 ID2961568886
PECOS Enrollment IDI20090302000350
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 Lori Bray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
5250 NORTHLAND DRIVE, SUITE A NORTH KENT GUIDANCE SERVICES LLC
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
5250 NORTHLAND DRIVE, SUITE A NORTH KENT GUIDANCE SERVICES LLC
GRAND RAPIDS, MI 49525

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 Lori Bray's NPI number?

The NPI number for Lori Bray is 1386710317. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Lori Bray located?

Lori Bray practices at 5250 Northland Drive Suite A, Grand Rapids, MI 49525. The listed phone number is (616) 361-5001.

What is Lori Bray's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lori Bray enrolled in Medicare?

Yes. Lori Bray 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 Lori Bray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Bray reassigns Medicare benefits to North Kent Guidance Services LLC (Grand Rapids, 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 Lori Bray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Bray accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Lori Bray 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 Lori Bray was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.