Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700522265 Individual Practitioner Female Practitioner

Lilliann Emma Ray

Peer Specialist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Lilliann Ray is a registered healthcare professional specializing in Peer Specialist in Fargo, ND. Practice services are available at 921 2ND AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

921 2nd Ave S

Fargo, ND 581031705

Telephone 7012128626
Associated Practice Facility / Clinic
🏢 Light House Recovery Services Facility NPI 1144920828

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
108 Specialists

Practicing in Fargo, ND (296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-09
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License ND 00000

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Driver

NUCC Taxonomy Code: 172A00000X

State License ND 00000

A person employed to operate a motor vehicle as a carrier of persons or property.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
172A0000X (ND)
Medicaid State Provider ID
175T00000X (ND)

Secondary Practice Locations

111 9th St S

Fargo, ND 581031831

Phone: 7012128626

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Linda Holdman

Case Manager/Care Coordinator

NPI 1033797121
Dale Wolf

Case Manager/Care Coordinator

NPI 1093393191
Anthony Gettler

Peer Specialist

NPI 1093472987
Lisa Ronning

Peer Specialist

NPI 1114677812
Tara Gilbert

Peer Specialist

NPI 1205414307
Alesha Anderson

Peer Specialist

NPI 1215699822

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2022

Registered at 921 2ND AVE S, FARGO, ND 581031705 (Tel: 7012128626)

📍
Updated Business Mailing Address May 09, 2022

Registered at 21 9TH ST S, FARGO, ND 581031830 (Tel: 7012128626)

👤
Provider Name / Credentials Updated May 09, 2022

Recorded as LILLIANN RAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2022

Driver (License #00000 in ND)

🟢
Initial NPI Registration & Enumeration May 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700522265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2022
Last Update: May 09, 2022
Sole Proprietor: No

Mailing Address

21 9th St S

Fargo, ND 581031830

Phone: 7012128626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.