Individual provider Active NPI

Raymond Lee Payton

  • Addiction (Substance Use Disorder) Counselor
  • Thousand Oaks, CA
National Provider Identifier
1811221633
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2101 Issued in CA
Practice address
260 E Hillcrest Dr
Unit a
Thousand Oaks, CA 91360-5859
Phone
(818) 694-3991
NPI assigned
Sep 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2101 CA Primary

Addresses

Primary practice location

260 E Hillcrest Dr
Unit a
Thousand Oaks, CA 91360-5859

Mailing address

260 E Hillcrest Dr
Unit a
Thousand Oaks, CA 91360-5859
Phone (818) 694-3991

Other identifiers 1

IdentifierTypeStateIssuer
2101OtherCACAARR PROVIDER #5001 FOR THE CAS CERTIFICATION

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
2101CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1811221633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E HILLCREST DR",
            "address_2": "UNIT A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605859",
            "telephone_number": "818-694-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E HILLCREST DR",
            "address_2": "UNIT A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605859",
            "telephone_number": "818-694-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "RAYMOND",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAARR PROVIDER #5001 FOR THE CAS CERTIFICATION",
            "identifier": "2101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.