AUTUMN N RAY LPC
NPI 1457924656
Counselor - Professional in Kansas City, MO
About Autumn N Ray Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN N RAY LPC (NPI 1457924656) is an individual professional provider in Kansas City, Missouri, licensed in Missouri (2021014958) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Autumn N 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.
Medicare Billing Reassignments
2Medicare enrollment records show Autumn Ray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Independence, MO 64057
- Reassigned Medicare billing, Missouri enrollment
- 7 clinicians in this Medicare group
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 590 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Autumn Ray's NPI number?
The NPI number for Autumn Ray is 1457924656. It was assigned to this individual provider in the NPPES registry on July 23, 2021. The provider is also known as Autumn Neselroad.
Where is Autumn Ray located?
Autumn Ray practices at 8333 E Blue Pkwy, Kansas City, MO 64133. The listed phone number is (816) 474-7677.
What is Autumn Ray's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Autumn Ray enrolled in Medicare?
Yes. Autumn 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 organizations bill Medicare for Autumn Ray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Ray reassigns Medicare benefits to 2 organizations: Brian A Fidler (Independence, MO) and Burrell, Inc. (Springfield, MO). Each 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 Autumn Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Autumn Ray accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and Oscar Insurance Company list Autumn 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 Autumn Ray was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Autumn N Ray, LPC · NPI 1457924656
Professional provider in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since July 23, 2021.
## Identity
- **NPI:** 1457924656 (Entity type: Individual)
- **Enumerated:** July 23, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2021014958 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 8333 E BLUE PKWY, Kansas City, MO 64133-4750
- **Phone:** (816) 474-7677 · **Fax:** (816) 767-7671
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brian A Fidler (NPI 1346682994, Independence, MO); Burrell, Inc. (NPI 1275541740, Springfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457924656) · Data from the CMS NPPES public registry.