Gary Thomas Ratliff, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2103221-SUPV Issued in OH

Practice address

9403 Kenwood Rd
Blue Ash, OH 45242-6895

Phone

(513) 280-1523

NPI assigned

Feb 16, 2017

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

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.

• Freya Enterprise LLC

  dba Mindful Healing Center

  • Children's Substance Abuse Rehabilitation Facility
  • Middletown, OH
  • NPI 1629673900
  Medicare reassignment NPD
• J. Kilby Enterprises, Inc.

  dba Ellie Mental Health

  • Mental Health Counselor
  • Centerville, OH
  • NPI 1316652894
  Medicare reassignment NPD
• Freya Enterprise LLC

  dba The Mindful Healing Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, OH
  • NPI 1346972510
  NPD
• Butler Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1053377184
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1063951556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426895",
            "telephone_number": "513-280-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "GARY",
        "middle_name": "THOMAS",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161869",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2103221-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354577",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Ariel Rainey, QMHS-B
• Tiffanie Rall
• Emeline R Ramenaden, M.D.
• Madelyn Ranz
• Jill Rasmussen, LISW
• Vernon Rawls, CDCA
• Henry Daniel Ray III
• Martin Ray
• Judith L Re, RN
• Abby O'Brien Reagan, OTR/L

• Clinical Social Worker in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.