Ja'Ray Tyrone Ceaser

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

19-CRM-2841 Issued in OR

Practice address

10209 SE Division St
Portland, OR 97266-1372

Phone

(503) 228-9229

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

• Volunteers of America Inc.

  dba Volunteers Of America Of Oregon Inc.

  • Contractor
  • Portland, OR
  • NPI 1376611418
  NPD (past)
• Volunteers of America Oregon

  • Specialist
  • Portland, OR
  • NPI 1801298724
  NPD (past)

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1215563895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143241",
            "telephone_number": "503-235-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661372",
            "telephone_number": "503-228-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEASER",
        "first_name": "JA'RAY",
        "middle_name": "TYRONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "19-CRM-2841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Cazeau, MD
• Nathan Cazmersen, OD
• CBT Portland LLC
• CDL Chiropractic Clinic, PC
• Desiree Nicole Fuhrmann Cearley
• Carlos Ceballos, MD
• Emily Ann Cebron, OTR/L
• Lori Cebula
• Kimberly A. Ceccarelli, NP
• Heather Zornes Cecchini, APRN

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.