Ronald Earl Hartley, CADC I

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1384 Issued in NM

Practice address

2610 N Silver St
Silver City, NM 88061-7299

Phone

(575) 313-9105

NPI assigned

Feb 14, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sober Living Oregon Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oregon City, OR
  • NPI 1073081881
  NPD (past)

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1093348336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E BIRCH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617102",
            "telephone_number": "575-313-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617299",
            "telephone_number": "575-313-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "RONALD",
        "middle_name": "EARL",
        "credential": "CADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-20-078",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Hammer, MD
• Catherine Susan Harding, CPRP
• Gary Randall Harkins, BS, PT
• Michael Harris, CFNP
• Susan L. Harris, BSW
• Lesley R. Hauser, DDS
• Haven Eeoi Holdings, LLC
• Haven Hospice NM, LLC
• Gauge C Hawkes, LSAA
• Cheryl Head, LMHC

• Peer Specialist in Silver City, NM
• Providers in Silver City, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.