Active NPI
Stephanie M. Raglin, LCADC
- Addiction (Substance Use Disorder) Counselor
- Lexington, KY
National Provider Identifier
1215429246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 166325
- Practice address
- 1524 Versailles Rd
Lexington, KY 40504-2406 - Phone
- (859) 252-2002
- Fax
- (859) 252-2592
- NPI assigned
- Jun 5, 2018
- Last updated
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 166325 | KY | Primary |
Addresses
Primary practice location
1524 Versailles Rd
Lexington, KY 40504-2406
Mailing address
1524 Versailles Rd
Lexington, KY 40504-2406
Phone (859) 252-2002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166325 | Other | KY | STATE ISSUED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166325 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenitee at Its Best | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| New Vista of the Bluegrass Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Midway, KY
- NPI 1417547290
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lexington, KY
- NPI 1023359783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1215429246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 VERSAILLES RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042406",
"telephone_number": "859-252-2002",
"fax_number": "859-252-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 VERSAILLES RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042406",
"telephone_number": "859-252-2002",
"fax_number": "859-252-2592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGLIN",
"first_name": "STEPHANIE",
"middle_name": "M.",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "166325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ISSUED",
"identifier": "166325",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.