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KARISSA RAY
NPI 1821613753
Counselor - Mental Health in Mesa, AZ

Active since June 16, 2020Opted out of Medicare · through May 2, 2028
4904 S POWER RD STE 103-268, MESA, AZ 85212(480) 226-2260 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2025, Jun 16, 2020 (2 updates tracked since 2020).

About Karissa Ray NPPES

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

KARISSA RAY (NPI 1821613753) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LPC-22076) and active in the NPI registry since June 2020. She has opted out of Medicare through May 2, 2028.

NPPES Registry Identity

NPI1821613753
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKARISSA RAY
Location Address4904 S POWER RD STE 103-268Mesa, AZ 85212-3609
Mailing Address4904 S Power Rd Ste 103Mesa, AZ 85212-3610 · (480) 204-5816
Phone(480) 226-2260
Sole ProprietorNo
Enumeration DateJune 16, 2020
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1821613753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in AZ · LPC-22076✔ Licensed in AZ · LAC-6514T
4904 S POWER RD STE 103-268, Mesa, AZ 85212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karissa Ray has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2024 through May 2, 2028.

Opt-Out Effective DateMay 2, 2024
Opt-Out In Effect ThroughMay 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Karissa Ray's NPI number?

The NPI number for Karissa Ray is 1821613753. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Karissa Ray located?

Karissa Ray practices at 4904 S Power Rd Ste 103-268, Mesa, AZ 85212. The listed phone number is (480) 226-2260.

What is Karissa Ray's specialty?

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

Is Karissa Ray enrolled in Medicare?

No. Karissa Ray has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Karissa Ray accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Karissa 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 Karissa Ray was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.