Rafael Antonio Correa Jr., LCDC III, CAP, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0100569 Issued in FL

Practice address

2121 W 117TH St
Cleveland, OH 44111-1642

Phone

(216) 417-4831

NPI assigned

Nov 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• B. Riley Sober House

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1417625666
  NPD Authorized official
• B. Riley Sober House

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1508557190
  NPD Authorized official

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1154835007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111642",
            "telephone_number": "216-417-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W 117TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111642",
            "telephone_number": "216-417-4831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 SW 1st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352203",
            "country_code": "US",
            "telephone_number": "305-859-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "RAFAEL",
        "middle_name": "ANTONIO",
        "name_suffix": "Jr.",
        "credential": "LCDC III, CAP, ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "162613",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "0000214",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "0100569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bryon Corradi, M.D.
• Kimberly M Corrado, LPCC-S
• Diane Elizabeth Corrao, RN
• Megan Corrao
• Nicole Correa, QMHS CMS
• Grace Elizabeth Corrier, DO
• Sharon M Corrigan Lakatos, LPCC-S
• Catilin Corrigan
• Kathryn Corrigan, MD
• Mandy Corrigan, RD

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, 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 6, 2025; 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.