Individual provider Active NPI

Raoul Joseph Muszynski, MS, LADC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Derby, CT
National Provider Identifier
1659427508
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000232 Issued in CT
Practice address
100 Elizabeth St
Derby, CT 06418-1819
Phone
(203) 446-2252
Fax
(203) 446-2262
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000232 CT Primary
Professional Counselor 101YP2500X 000879 CT

Addresses

Primary practice location

100 Elizabeth St
Derby, CT 06418-1819

Mailing address

16 Lisa CT Apt 8
Waterbury, CT 06704-1200
Phone (203) 757-9306

Other names 1

  • Mr. Ray Joseph Muszynski Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000879CTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1659427508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LISA CT APT 8",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041200",
            "telephone_number": "203-757-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181819",
            "telephone_number": "203-446-2252",
            "fax_number": "203-446-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSZYNSKI",
        "first_name": "RAOUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MS, LADC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000232",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "MUSZYNSKI",
            "middle_name": "JOSEPH",
            "prefix": "MR.",
            "credential": "MS, LADC, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Derby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.