Raymond Dean, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC006471 Issued in GA

Practice address

206 E Adair St
Valdosta, GA 31601-4508

Phone

(229) 392-5034

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410

  GA

  Medicare reassignment

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1851854202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PRINCE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943111",
            "telephone_number": "229-392-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E ADAIR ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316014508",
            "telephone_number": "229-392-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "RAYMOND",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "APC006471",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dca of Central Valdosta LLC (U S Renal Care Central Valdosta Dialysis)
• Dca of So Ga LLC (U S Renal Care South Georgia Dialysis)
• Ashley De Plato
• Alysha Deal, PT, DPT
• Brandon Dean, PTA
• Deanna Folsom LCSW PC
• Deborah F McDonald OD PC (North Oak Family Eye Care & Optical)
• Stella Adjua Debrah-Siriboe, M.D.
• Meredith Emily Decesare, NP-C
• Katie Rackley Decoudres, M.ED., CCC-SLP

• Professional Counselor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.