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JACOB RAY
NPI 1528814902
Counselor - Addiction (Substance Use Disorder) in Coburg, OR

Active since April 26, 2024
1 SERENITY LN, COBURG, OR 97408(541) 366-6293 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Ray NPPES

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

JACOB RAY (NPI 1528814902) is an individual addiction (substance use disorder) provider in Coburg, Oregon, licensed in Oregon (T-24-3929) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1528814902
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB RAY
Location Address1 SERENITY LNCoburg, OR 97408-9350
Mailing Address2924 Stark StEugene, OR 97404-1843 · (541) 729-9260
Phone(541) 366-6293
Sole ProprietorNo
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1528814902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-24-3929
1 SERENITY LN, Coburg, OR 97408
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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.

EMMITT ADAIR QMHP, CADC III, SAP
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 284-8605
MASON ANTHONY MARIN CADC-R, CRM 1
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 606-3308
JENAE HULSEY KATELYN HULSEY
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
JACLYN BOGNER MS
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
SARAH ELIZABETH BUCK QMHA-R
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HEATHERANN CHARLENE HELMS CADCR
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 513-6855
CHRISTOPHER BOWLING
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110
HANNAH KREEGER
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Lane County (541) 687-1110

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 Jacob Ray's NPI number?

The NPI number for Jacob Ray is 1528814902. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Jacob Ray located?

Jacob Ray practices at 1 Serenity Ln, Coburg, OR 97408. The listed phone number is (541) 366-6293.

What is Jacob Ray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacob Ray was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.