Ray Lewis Suell Jr., LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13955 Issued in TX

Practice address

10875 Pinewood Dr
Tyler, TX 75703-9448

Phone

(903) 266-0850

NPI assigned

Jul 5, 2024

Last updated

Jul 5, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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

• Andrews Center

  dba Andrews Center Chemical Treatment Facility

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1821064742
  Medicare reassignment NPD
• Andrews Center

  • Developmental Disabilities Clinic/Center
  • Tyler, TX
  • NPI 1275592370
  NPD
• Andrews Center -Pinkerton

  • Social Worker
  • Tyler, TX
  • NPI 1538604715
  NPD

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1215773684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 PINEWOOD DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757039448",
            "telephone_number": "903-266-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PINEWOOD DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757039448",
            "telephone_number": "903-266-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUELL",
        "first_name": "RAY",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannan Stubbs
• Kirsten Stuber, FNP-BC
• Jingdong Su
• Evelyn Suarez
• Heather Sudduth, MS, LPC
• Jill J Suffield, MD
• Georgina J Suick, LMSW
• Suji White MD PA
• Nanna Helen Sulai, MD
• Nadin Suleiman

• Addiction (Substance Use Disorder) Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.