Raymond Deardoff, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1000404 Issued in OH

Practice address

4578 Gallia Pike
Franklin Furnace, OH 45629-8600

Phone

(740) 351-0008

NPI assigned

Nov 3, 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.

• Scioto County Counseling Center Inc

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1689245409

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1174035802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 FINDLAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 GALLIA PIKE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298600",
            "telephone_number": "740-351-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDOFF",
        "first_name": "RAYMOND",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "1000404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ellen Cook, CMS
• Kimberly Crawford
• Billie Jo Damron
• Andrea Davis, LCDC
• Diane E Davis
• Joshua C Dempsey
• Jennifer Lynn Dixon
• Charles Ethan Evans
• Focus Residential Group, LLC
• Focus Residential Group, LLC

• Addiction (Substance Use Disorder) Counselor in Franklin Furnace, OH
• Providers in Franklin Furnace, 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 Nov 3, 2017; 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.