Individual provider Active NPI

Claudia Ratcliff, ACB LL

  • Addiction (Substance Use Disorder) Counselor
  • Atlanta, GA
National Provider Identifier
1376931303
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6599 Issued in CO
Practice address
2619 Flagstone Dr SE
Atlanta, GA 30316-4003
Phone
(404) 219-7773
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6599 CO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1974-R GA

Addresses

Primary practice location

2619 Flagstone Dr SE
Atlanta, GA 30316-4003

Mailing address

2619 Flagstone Dr SE
Atlanta, GA 30316-4003
Phone (404) 219-7773

Other identifiers 2

IdentifierTypeStateIssuer
6599OtherCOABC LL
1974-ROtherGAACB LL

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
1974-RGAMDAddiction (Substance Use Disorder) Counselor
6599COMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1376931303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 FLAGSTONE DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164003",
            "telephone_number": "404-219-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 FLAGSTONE DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164003",
            "telephone_number": "404-219-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "CLAUDIA",
        "credential": "ACB LL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6599",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1974-R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC LL",
            "identifier": "6599",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACB LL",
            "identifier": "1974-R",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.