Active NPI
Leticia Ramirez, CADC-T
- Substance Use Disorder Rehabilitation Clinic/Center
- Columbus, GA
National Provider Identifier
1043922461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 26-4603737
- Practice address
- 3150 Plateau Dr Lot 303
Columbus, GA 31903-5400 - Phone
- (706) 322-3773
- NPI assigned
- Dec 16, 2022
- Last updated
- Dec 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | GA | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 26-4603737 | GA | Primary |
Addresses
Primary practice location
3150 Plateau Dr Lot 303
Columbus, GA 31903-5400
Mailing address
2101 Hamilton Rd
Columbus, GA 31904-8834
Phone (706) 322-3773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-4603737 | GA | MD | Substance Use Disorder Rehabilitation Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattahoochee Valley Jail Ministry | Current | Accepting new patients |
Locations
2101 Hamilton Rd
Columbus, GA 31904
Phone (703) 322-3773
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SafeHouse Ministries
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, GA
- NPI 1881215184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1043922461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HAMILTON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048834",
"telephone_number": "706-322-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 PLATEAU DR LOT 303",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319035400",
"telephone_number": "706-322-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "LETICIA",
"credential": "CADC-T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "GA",
"license": "26-4603737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.