Ralph Cunningham, MA,LLPC,ADA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401007689 Issued in MI

Practice address

16057 Blue Star M Hwy
South Haven, MI 49090-9470

Phone

(269) 389-9670

NPI assigned

May 19, 2020

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

Master of Arts

State licenses

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1043833643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20101",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490191101",
            "telephone_number": "269-389-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16057 BLUE STAR M HWY",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909470",
            "telephone_number": "269-389-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "MA,LLPC,ADA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401007689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Laurence Clark, MD
• Hailey Conklin, LMSW
• Emmett Dewayne Cosgrove, OD
• Gabriela Crider
• Mary Grace Crock-Ring, R.N.
• Melissa Marie Cutler
• Sharon Davis
• Bobbie Ann Dell, RN
• Bertha Marie Denemy, RN BSN
• Joseph Deyoung

• Addiction (Substance Use Disorder) Counselor in South Haven, MI
• Providers in South Haven, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.