Individual provider Active NPI

John William Ragsdale, PH.D.

  • Counseling Psychologist
  • Durango, CO
National Provider Identifier
1588867451
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1406 Issued in CO
Practice address
2877 Main Ave
Durango, CO 81301-5936
Phone
(970) 247-2451
Fax
(970) 247-8746
NPI assigned
Jun 7, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1406 CO Primary

Addresses

Primary practice location

2877 Main Ave
Durango, CO 81301-5936

Mailing address

2877 Main Ave
Durango, CO 81301-5936
Phone (970) 247-2451

Other identifiers 1

IdentifierTypeStateIssuer
01509349MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000290 CO Practitioner - Clinical Psychologist 3678508371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2877 Main Ave
Suite B
Durango, CO 81301-5935
Phone (970) 247-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1406COMDCounseling Psychologist
460NMMDHuman Factors Physical Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1588867451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015936",
            "telephone_number": "970-247-2451",
            "fax_number": "970-247-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015936",
            "telephone_number": "970-247-2451",
            "fax_number": "970-247-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "1406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01509349",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.