Active NPI
Ronald Lee Jr., CADC, CAS
- Addiction (Substance Use Disorder) Counselor
- Westminster, CA
National Provider Identifier
1669874459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C060580919
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L0907011902 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| C060580919 | CA | MD | Health & 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.