Darrick Ryan Fraley, CDCA I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.165822 Issued in OH

Practice address

1725 E 3Rd St
Dayton, OH 45403-1850

Phone

(937) 387-6395

NPI assigned

Dec 13, 2017

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

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.

• Clinic Security and Logistics, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1215428016
  NPD (past)

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1104331073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2396 CAREW AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454203427",
            "telephone_number": "937-312-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454031850",
            "telephone_number": "937-387-6395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8145 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454151703",
            "country_code": "US",
            "telephone_number": "937-387-6395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "DARRICK",
        "middle_name": "RYAN",
        "credential": "CDCA I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.165822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Fox
• Susan Melissa Fox, RN
• Kimberly Lynn Foy, CDCA
• Richard Fraley-Wilson
• Chelsi Fraley
• Marya Fraley, RN
• Susan Fralick
• Luek L Frame, DPM
• Adri L France, CDCA
• Deauco Lamar Francis

• Addiction (Substance Use Disorder) Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.