Individual provider Active NPI

Ginger L. Rader

  • Addiction (Substance Use Disorder) Counselor
  • Edmond, OK
National Provider Identifier
1942464672
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
473 Issued in OK
Practice address
501 E 15TH St
Suite 102
Edmond, OK 73013-5043
Phone
(405) 285-9880
Fax
(405) 285-9877
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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 473 OK Primary

Addresses

Primary practice location

501 E 15TH St
Suite 102
Edmond, OK 73013-5043

Mailing address

501 E 15TH St
Suite 102
Edmond, OK 73013-5043
Phone (405) 285-9880

Other identifiers 1

IdentifierTypeStateIssuer
473OtherOKOKLAHOMA BOARD OF LICENSED ALCOHOL & DRUG COUNSELORS

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

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1942464672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 15TH ST",
            "address_2": "SUITE 102",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135043",
            "telephone_number": "405-285-9880",
            "fax_number": "405-285-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 15TH ST",
            "address_2": "SUITE 102",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135043",
            "telephone_number": "405-285-9880",
            "fax_number": "405-285-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "GINGER",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF LICENSED ALCOHOL & DRUG COUNSELORS",
            "identifier": "473",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.