Active NPI
Ruth Rachel Raciniewski, P.C.C.
- Counselor
- Lakewood, OH
National Provider Identifier
1508130006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0701182
- Practice address
- 15200 Madison Avenue
Lakewood, OH 44107 - Phone
- (216) 538-2376
- Fax
- (216) 529-1630
- NPI assigned
- Mar 1, 2012
- Last updated
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0701182 | OH | Primary |
Addresses
Primary practice location
15200 Madison Avenue
Lakewood, OH 44107
Mailing address
202 East Bagley Road
Berea, OH 44017
Phone (440) 234-2006
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 |
|---|---|---|---|
| E0701182 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1508130006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 EAST BAGLEY ROAD",
"city": "BEREA",
"state": "OH",
"postal_code": "44017",
"telephone_number": "440-234-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 MADISON AVENUE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "44107",
"telephone_number": "216-538-2376",
"fax_number": "216-529-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACINIEWSKI",
"first_name": "RUTH",
"middle_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "P.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0701182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.