MR. RAY JAMAAL HERNDON LCSW
NPI 1760611636
Social Worker - Clinical in Colorado Springs, CO
About Mr. Ray Jamaal Herndon Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RAY JAMAAL HERNDON LCSW (NPI 1760611636) is an individual clinical provider in Colorado Springs, Colorado, licensed in Colorado (CSW.09928508) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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
Mr. Ray Jamaal Herndon Lcsw 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 Reassignment
Medicare enrollment records show Ray Herndon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Colorado enrollment
- 940 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLORADO SPRINGS, CO 80909
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 Ray Herndon's NPI number?
The NPI number for Ray Herndon is 1760611636. It was assigned to this individual provider in the NPPES registry on July 13, 2009.
Where is Ray Herndon located?
Ray Herndon practices at 1400 E Boulder St, Colorado Springs, CO 80909. The listed phone number is (719) 365-7505.
What is Ray Herndon's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ray Herndon enrolled in Medicare?
Yes. Ray Herndon 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 Ray Herndon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ray Herndon reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 Ray Herndon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ray Herndon accept?
Health plans from Oscar Insurance Company and Select Health list Ray Herndon 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 Ray Herndon was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Ray Jamaal Herndon, LCSW · NPI 1760611636
Clinical provider in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since July 13, 2009.
## Identity
- **NPI:** 1760611636 (Entity type: Individual)
- **Enumerated:** July 13, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CSW.09928508 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 E BOULDER ST, Colorado Springs, CO 80909-5533
- **Phone:** (719) 365-7505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 28, 2022
- **Other identifiers:** Other 7565A (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1760611636) · Data from the CMS NPPES public registry.