Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ray Edward Cammack, MED, LCPC

Individual provider Mental Health Counselor · NPI 1528055399

Mr. Ray Edward Cammack, MED, LCPC is a Mental Health Counselor in Meridian, Idaho. Qualified in 1998, 28 years ago. Practices with Azure Stone Mental Health and Wellness LLC, a 3-clinician group. Licensed in Idaho.

Years since qualifying
28
Licensed in
ID
In the registry since
2005
Specialties on file
3
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1835 S Marsh Wood Pl
Meridian, ID 83642-7457
Phone: (208) 420-5380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-3129 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence LCPC-3129 (ID)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X · Licence LCPC-3129 (ID)

Record details

NPI number1528055399
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LCPC
Sole proprietorYes
NPI enumeratedOctober 5, 2005
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Azure Stone Mental Health And Wellness Llc — 3 clinicians
Accepts Medicare assignment Not indicated

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