Raymond Charles George Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC008613 Issued in PA

Practice address

1200 Ashwood Dr
Suite 1201
Canonsburg, PA 15317-4982

Phone

(724) 884-0466

NPI assigned

Jan 3, 2016

Last updated

Jan 3, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MLS Mindful Therapy PC

  • Clinical Social Worker
  • Canonsburg, PA
  • NPI 1790307130
  NPD (past)

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451779200000",
    "number": "1962868257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WASHINGTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063323",
            "telephone_number": "814-421-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD DR",
            "address_2": "SUITE 1201",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174982",
            "telephone_number": "724-884-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "RAYMOND",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Cararie, D.M.D.
• Frank a Yarussi MD and Associates (TYCOR Imaging)
• Nancy Doris Frezza Batts, DO
• Brittany Leigh Garrett, OTR/L
• Emily Ryan Gass, LCSW
• Charity Joy Geskin, FNP
• Ggnsc Canonsburg LP (Golden LivingCenter - South Hills)
• Collette Gibbons, MSN, PMHNP, FNP
• Danielle Gielarowski
• Taranjit Gill

• Professional Counselor in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.