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MELISSA LYN RAY LPC
NPI 1447971676
Counselor - Mental Health in Jacksonville, TX

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
510 E COMMERCE ST, JACKSONVILLE, TX 75766(903) 535-9041(903) 586-0001 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2024, Oct 27, 2022, Sep 6, 2022 (3 updates tracked since 2022).

About Melissa Lyn Ray Lpc NPPES

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

MELISSA LYN RAY LPC (NPI 1447971676) is an individual mental health provider in Jacksonville, Texas, licensed in Texas (72279) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1447971676
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA LYN RAYCredential: LPC
Location Address510 E COMMERCE STJacksonville, TX 75766-4910
Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041 · Fax (903) 586-0001
Phone(903) 535-9041
Fax(903) 586-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 6, 2022
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1447971676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 72279
510 E COMMERCE ST, Jacksonville, TX 75766
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa Lyn Hefner Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Melissa Lyn Ray Lpc 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 ID5294273033
PECOS Enrollment IDI20250424002435
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 Melissa Ray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tyler Family Circle Of Care
24 mi
Federally Qualified Health Center (FQHC)
13172 STATE HIGHWAY 64 E
Tyler, TX 75707
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
NPI 1144575820 (903) 535-9041

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 8

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

AMANDA MICHELLE WALSH APRN
Nurse Practitioner (Pediatrics)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 535-9041
JACQUELINE CATNEY DUBOIS MD
Pediatrics
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 535-9041
DEBORAH GARGANERA LEDESMA FNP-C
Nurse Practitioner (Family)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 535-9041
MR. FRED B WINGATE PHYSICAL THERAPIST
Physical Therapist
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 586-2415
KATIE B HAMILTON PA-C
Physician Assistant
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 541-2700
KIERRA NICOLE WHITAKER
Nurse Practitioner (Family)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 535-9041
MS. LELL PINKSTON NP
Nurse Practitioner (Family)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 535-9041
CHAQUARRA LASTAYSHA MITCHELL
Nurse Practitioner (Family)
510 E COMMERCE ST
JACKSONVILLE, TX 75766
Cherokee County (903) 535-9041

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 Melissa Ray's NPI number?

The NPI number for Melissa Ray is 1447971676. It was assigned to this individual provider in the NPPES registry on September 6, 2022. The provider is also known as Melissa Lyn Hefner Lpc.

Where is Melissa Ray located?

Melissa Ray practices at 510 E Commerce St, Jacksonville, TX 75766. The listed phone number is (903) 535-9041.

What is Melissa Ray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Melissa Ray enrolled in Medicare?

Yes. Melissa 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 Melissa Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Ray reassigns Medicare benefits to Tyler Family Circle Of Care (Tyler, TX). 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 Melissa Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Ray accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Melissa 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 Melissa Ray was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.