Ricky Paylor, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24883

Practice address

408 W Morehead St
Roxboro, NC 27573-4937

Phone

(919) 906-4426

Fax

(336) 647-4776

NPI assigned

Feb 17, 2010

Last updated

Jun 30, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ajinnda 13 Group Living Facility

  • Community/Behavioral Health Agency
  • Roxboro, NC
  • NPI 1316537905
  NPD Authorized official

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1336461342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W MOREHEAD ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734937",
            "telephone_number": "919-906-4426",
            "fax_number": "919-496-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W MOREHEAD ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734937",
            "telephone_number": "919-906-4426",
            "fax_number": "336-647-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYLOR",
        "first_name": "RICKY",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "24883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• PCGH, Inc
• PCGH, Inc
• PCGH, Inc
• PCGH, Inc
• PCGH, Inc

• Addiction (Substance Use Disorder) Counselor in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.