Individual provider Active NPI

Richard Randolph Moraitis, CADC II, BCPC, CIP

  • Addiction (Substance Use Disorder) Counselor
  • Laguna Niguel, CA
National Provider Identifier
1851040505
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A061130322 Issued in CA
Practice address
28202 Cabot Rd Ste 300
Laguna Niguel, CA 92677-1249
Phone
(949) 303-8264
NPI assigned
Mar 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X BCPC094 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X A061130322 CA Primary

Addresses

Primary practice location

28202 Cabot Rd Ste 300
Laguna Niguel, CA 92677-1249

Mailing address

28202 Cabot Rd Ste 300
Laguna Niguel, CA 92677-1249
Phone (949) 303-8264

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@randymoraitis.com Direct

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
A061130322CAMDAddiction (Substance Use Disorder) Counselor
BCPC094CAMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1851040505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 300",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771249",
            "telephone_number": "949-303-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 300",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771249",
            "telephone_number": "949-303-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAITIS",
        "first_name": "RICHARD",
        "middle_name": "RANDOLPH",
        "credential": "CADC II, BCPC, CIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "BCPC094",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A061130322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@randymoraitis.com",
            "affiliation": "N",
            "endpointDescription": "practice email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "N/A",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28202 Cabot Rd.",
            "address_2": "Suite 300",
            "city": "Laguna Niguel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.