Shawn Thomas Ray

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

41W400 Silver Glen Rd
Saint Charles, IL 60175-8453

Phone

(331) 901-4225

NPI assigned

May 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Silver Glen Road Opco LLC

  • Substance Abuse Rehabilitation Facility
  • St Charles, IL
  • NPI 1578187886
  NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1831946532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PEACH TREE LN",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600074022",
            "telephone_number": "267-280-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41W400 SILVER GLEN RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601758453",
            "telephone_number": "331-901-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "SHAWN",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rommel Ram Ramos, PTA
• Randall Medical LLC
• Michael Randall, DPT
• Kiran Rauf
• Amita Raval, PHARMD
• Rosa Raya, INTERPRETER
• Rci (WRS), LLC
• Jasmine Adawn Rebuck, LCSW
• Jeremiah Recinos, RBT
• Katherine Lynn Reed, LCSW

• Addiction (Substance Use Disorder) Counselor in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.