Raymond Louis Ledoux, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MY16411 Issued in CA

Practice address

820 Bay Ave
Suite 203B
Capitola, CA 95010-2140

Phone

(831) 476-6582

Fax

(831) 476-6582

NPI assigned

Jan 7, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1043495294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BAY AVE",
            "address_2": "SUITE 203B",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102140",
            "telephone_number": "831-476-6582",
            "fax_number": "831-476-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BAY AVE",
            "address_2": "SUITE 203B",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102140",
            "telephone_number": "831-476-6582",
            "fax_number": "831-476-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "RAYMOND",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MY16411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Capitola, CA
• Providers in Capitola, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.