Individual provider Active NPI

Ronald Lee Jr., CADC, CAS

  • Addiction (Substance Use Disorder) Counselor
  • Westminster, CA
National Provider Identifier
1669874459
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C060580919 Issued in CA
Practice address
13511 Sunnyvale Ave
Westminster, CA 92683-3232
Phone
(714) 659-7586
NPI assigned
Sep 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X L0907011902 CA
Mental Health Counselor 101YM0800X C060580919 CA
Professional Counselor 101YP2500X C060580919 CA
Health & Wellness Coach 171400000X C060580919 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X C060580919 CA Primary

Addresses

Primary practice location

13511 Sunnyvale Ave
Westminster, CA 92683-3232

Mailing address

4801 W 6TH St
Santa Ana, CA 92703-2514
Phone (171) 465-9758

Other practice location 1

1202 N Monterey St
Anaheim, CA 92801-1550
Phone (714) 659-7586

Other practice location 2

1000 Quail St Ste 160
Newport Beach, CA 92660-2721
Phone (714) 659-7586

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

LicenseStateTypeSpecialty
L0907011902CAMDAddiction (Substance Use Disorder) Counselor
C060580919CAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1669874459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W 6TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032514",
            "telephone_number": "171-465-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13511 SUNNYVALE AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833232",
            "telephone_number": "714-659-7586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 N Monterey St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011550",
            "country_code": "US",
            "telephone_number": "714-659-7586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Quail St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602721",
            "country_code": "US",
            "telephone_number": "714-659-7586",
            "fax_number": "949-274-8529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CADC, CAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "L0907011902",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "C060580919",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "C060580919",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "C060580919",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C060580919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.