Individual provider Active NPI

Ralph J Radey Jr., CADC III CRPS CCSG

  • Addiction (Substance Use Disorder) Counselor
  • Sheboygan, WI
National Provider Identifier
1497731863
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1186 Issued in WI
Practice address
615 S 8TH St
Ste G20
Sheboygan, WI 53081-4405
Phone
(920) 457-8866
Fax
(920) 457-8867
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1186 WI Primary

Addresses

Primary practice location

615 S 8TH St
Ste G20
Sheboygan, WI 53081-4405

Mailing address

615 S 8TH St
Ste G20
Sheboygan, WI 53081-4405
Phone (920) 457-8866

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
1186WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Clinic of Sheboygan Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497731863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S 8TH ST",
            "address_2": "STE G20",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814405",
            "telephone_number": "920-457-8866",
            "fax_number": "920-457-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S 8TH ST",
            "address_2": "STE G20",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814405",
            "telephone_number": "920-457-8866",
            "fax_number": "920-457-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEY",
        "first_name": "RALPH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CADC III CRPS CCSG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.