| Marketta Irene Ray, | |
| 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 | |
| (704) 384-1261 | |
| (704) 384-3145 | 
| Full Name | Marketta Irene Ray | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 1401 Matthews Township Pkwy Ste 320, Matthews, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134685845 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A14572 (North Carolina) | Secondary | 
| 101YM0800X | Counselor - Mental Health | A14572 (North Carolina) | Primary | 
| Entity Name | Novant Health Medical Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Marketta Irene Ray, Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Marketta Irene Ray, 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 Ph: (704) 384-1261 | 
| Esther Nam, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 855 Sam Newell Rd Ste 100, Matthews, NC 28105 Phone: 704-360-3637 | |
| Courtney Michelle Caveny, MA, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 Phone: 704-384-1261 Fax: 704-384-3145 | |
| Ashlyn B Sexton,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Matthews Mint Hill Rd, Matthews, NC 28105 Phone: 704-844-6958 | |
| Mrs. Shirley A. Bird, M.A., LPC, LPC#1015 Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Matthews Mint Hill Rd Ste 102, Matthews, NC 28105 Phone: 704-819-3288 Fax: 704-372-1055 | |
| Mrs. Shannon Marie Berger, MED., LPCA, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Cinnamon Dr, Matthews, NC 28104 Phone: 828-388-2399 | |
| Jenna Lane,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 9719 Northeast Pkwy, Matthews, NC 28105 Phone: 704-443-8148 | |
| Adria Goulet, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Matthews Station St, Matthews, NC 28105 Phone: 980-299-7436 |