Active NPI
Raymond Charles Kammer, LAC
- Addiction (Substance Use Disorder) Counselor
- Valparaiso, IN
National Provider Identifier
1639443047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 86000133A
- Practice address
- 2301 Cumberland Dr
Recovery Center
Valparaiso, IN 46383-2505 - Phone
- (219) 476-4676
- Fax
- (219) 462-2381
- NPI assigned
- Mar 2, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000133A | IN | Primary |
Addresses
Primary practice location
2301 Cumberland Dr
Recovery Center
Valparaiso, IN 46383-2505
Mailing address
2301 Cumberland Dr.
Recovery Center
Valapariso, IN 46383
Phone (219) 476-4676
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 |
|---|---|---|---|
| 86000133A | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1639443047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 CUMBERLAND DR.",
"address_2": "RECOVERY CENTER",
"city": "VALAPARISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-476-4676",
"fax_number": "219-462-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CUMBERLAND DR",
"address_2": "RECOVERY CENTER",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832505",
"telephone_number": "219-476-4676",
"fax_number": "219-462-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMMER",
"first_name": "RAYMOND",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000133A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.