Active NPI
Steven Raynor
- Mental Health Counselor
- Jamestown, NY
National Provider Identifier
1568079945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002584
- Practice address
- 500 Pine St
Jamestown, NY 14701-5384 - Phone
- (716) 640-8746
- NPI assigned
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002584 | NY | Primary |
Addresses
Primary practice location
500 Pine St
Jamestown, NY 14701-5384
Mailing address
PO Box 1022
Jamestown, NY 14702-1022
Phone (716) 640-8746
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 |
|---|---|---|---|
| 002584 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1568079945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1022",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147021022",
"telephone_number": "716-640-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PINE ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147015384",
"telephone_number": "716-640-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNOR",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.