Raymond Shaw, CSAC SAP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

MHL-074-228 Issued in NC

Practice address

200 W 3Rd St
Suite B
Greenville, NC 27858-1808

Phone

(252) 413-0401

NPI assigned

Feb 8, 2011

Last updated

Feb 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A Ray of Hope Counseling , LLC

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  NPD Authorized official
• A Ray of Hope Enterprise LLC

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• A Ray of Hope Substance Abuse Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Williamston, NC
  • NPI 1538674098
  Authorized official Same address or phone

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1578869574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 3RD ST",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278581808",
            "telephone_number": "252-413-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 3RD ST",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278581808",
            "telephone_number": "252-413-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "CSAC     SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": "MHL-074-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Bradshaw Sharpe, BCBA
• Momin Shaukat, MD
• Fallon S Shaw, AGPCNP
• Karen L Shaw, D.D.S.
• Lucy Shaw, LAT, ATC
• Robert A. Shaw, M.D.
• Saima Hamid Shawl, MD
• Beverly L Sheaffer, MA,LPC,ATR-BC
• Lucy Anna Grace Sheaffer
• Akela Breona Jade Sheard, MD

• Case Manager/Care Coordinator in Greenville, NC
• Providers in Greenville, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.