Active NPI
Ronald Kerlee
- Addiction (Substance Use Disorder) Counselor
- Albany, OR
National Provider Identifier
1417100066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 99-03-50
- Practice address
- 936 8TH Ave SW
Albany, OR 97321-2407 - Phone
- (541) 752-1099
- Fax
- (541) 928-4301
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 99-03-50 | OR | Primary |
| Mental Health Counselor | 101YM0800X | C1748 | OR |
Addresses
Primary practice location
936 8TH Ave SW
Albany, OR 97321-2407
Mailing address
936 8TH Ave SW
Albany, OR 97321-2407
Phone (541) 752-1099
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1748 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1417100066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 8TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212407",
"telephone_number": "541-752-1099",
"fax_number": "541-928-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 8TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212407",
"telephone_number": "541-752-1099",
"fax_number": "541-928-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERLEE",
"first_name": "RONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "99-03-50",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C1748",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.