Individual provider Active NPI

Will Dewayne Rainge

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1922640671
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
192827 Issued in OH
Practice address
5209 Euclid Ave
Cleveland, OH 44103-3703
Phone
(216) 881-0765
Fax
(216) 431-2190
NPI assigned
Oct 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 192827 OH Primary

Addresses

Primary practice location

5209 Euclid Ave
Cleveland, OH 44103-3703

Mailing address

3942 Lee Heights Blvd
Cleveland, OH 44128-1735
Phone (216) 854-2965

Other practice location 1

3942 Lee Heights Blvd
Cleveland, OH 44128-1735
Phone (216) 854-2965

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
192827OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1922640671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 LEE HEIGHTS BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281735",
            "telephone_number": "216-854-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033703",
            "telephone_number": "216-881-0765",
            "fax_number": "216-431-2190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3942 Lee Heights Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441281735",
            "country_code": "US",
            "telephone_number": "216-854-2965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINGE",
        "first_name": "WILL",
        "middle_name": "DEWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "192827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.