Organization Active NPI

Ray of Light Counseling LLC

  • Mental Health Counselor
  • Vandalia, OH
National Provider Identifier
1356796643
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RAY OF LIGHT COUNSELING LLC
Practice address
59 N Dixie Dr Ste C
Vandalia, OH 45377-2067
Phone
(937) 314-1659
Fax
(937) 424-8767
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Elizabeth HicksNPI 1174871784
Title
Owner
Phone
(937) 314-1659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

59 N Dixie Dr Ste C
Vandalia, OH 45377-2067

Mailing address

59 N Dixie Dr Ste C
Vandalia, OH 45377-2067
Phone (937) 314-1659

National Provider Directory

National Provider Directory

Locations

59 N Dixie Dr
Ste C
Vandalia, OH 45377
Phone (937) 314-1659

415 S Dixie Dr
Ste 1
Vandalia, OH 45377

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1356796643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 N DIXIE DR STE C",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772067",
            "telephone_number": "937-314-1659",
            "fax_number": "937-424-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 N DIXIE DR STE C",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772067",
            "telephone_number": "937-314-1659",
            "fax_number": "937-424-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF LIGHT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-314-1659"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.