Phaetra Kafunya Raney, LCSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

313 S 5TH St Ste 7
Lamar, CO 81052-2755

Phone

(281) 665-7346

NPI assigned

Apr 25, 2012

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Phaetra Kafunya Raney Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Phaetra K. Raney Foundation , Inc

  dba Damascus Landing

  • Substance Abuse Rehabilitation Facility
  • Lamar, CO
  • NPI 1225718307
  NPD Authorized official
• Alpha Social Services Inc

  • Mental Health Counselor
  • Oakdale, LA
  • NPI 1427716521
  NPD Authorized official
• Damascus Landing

  • Community Health Clinic/Center
  • Colorado Springs, CO
  • NPI 1811875461
  Authorized official Same address or phone
• Damascus Landing LLC

  • Substance Abuse Rehabilitation Facility
  • Sugar Land, TX
  • NPI 1437879996
  Authorized official Same address or phone
• Dr. Phaetra K. Raney Foundation Inc.

  dba Damascus Landing, LLC

  • Substance Abuse Rehabilitation Facility
  • Sugar Land, TX
  • NPI 1477177814
  Authorized official Same address or phone
• Lake Area TMS

  • Clinic/Center
  • Lake Charles, LA
  • NPI 1679197651
  Authorized official Same address or phone

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1174881320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19901 SOUTHWEST FWY STE 141",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796538",
            "telephone_number": "832-363-7877",
            "fax_number": "832-451-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 5TH ST STE 7",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810522755",
            "telephone_number": "281-665-7346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19901 Southwest Fwy Ste 141",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774796538",
            "country_code": "US",
            "telephone_number": "832-363-7877",
            "fax_number": "832-451-6294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANEY",
        "first_name": "PHAETRA",
        "middle_name": "KAFUNYA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "25180",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHAETRA",
            "last_name": "RANEY",
            "middle_name": "KAFUNYA",
            "credential": "PHAETRA RANEY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Prowers County Hospital District (Prowers Medical Center Family Rural Health Clinic)
• Prowers County Nursing (Prowers County Public Health)
• Prowers County Public Health Oltc
• Prowers Medical Center (Prowers Medical Center Womens Rural Health Clinic)
• Salvador Ramirez, DDS
• Roxie L Rankin II, RN MSN
• Ciera Ray
• Hilton C. Ray, MD
• Region Six Alcohol & Drug Abuse Inc. (Resada)
• Heather Renee Reid, RDH

• Case Manager/Care Coordinator in Lamar, CO
• Providers in Lamar, CO by specialty
• Case Manager/Care Coordinator in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.