Individual provider Active NPI

Paul Alan Rauscher, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Boone, NC
National Provider Identifier
1356483713
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
916 Issued in NC
Practice address
820 State Farm Rd
Suite E
Boone, NC 28607-4996
Phone
(828) 262-3382
Fax
(828) 262-0899
NPI assigned
Feb 13, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 916 NC Primary

Addresses

Primary practice location

820 State Farm Rd
Suite E
Boone, NC 28607-4996

Mailing address

820 State Farm Rd
Suite E
Boone, NC 28607-4996
Phone (828) 262-3382

Other identifiers 2

IdentifierTypeStateIssuer
6005474MedicaidNC
6005475MedicaidNC

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

LicenseStateTypeSpecialty
916NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Things First Inc Past Accepting new patients
Rowan Psychiatric and Medical Services PA PastSince Oct 8, 2018 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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356483713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 STATE FARM RD",
            "address_2": "SUITE E",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074996",
            "telephone_number": "828-262-3382",
            "fax_number": "828-262-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 STATE FARM RD",
            "address_2": "SUITE E",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074996",
            "telephone_number": "828-262-3382",
            "fax_number": "828-262-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCHER",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005474",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005475",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.