Active NPI
Angela Doretha Ray, LCDC III
- Addiction (Substance Use Disorder) Counselor
- Hamilton, OH
National Provider Identifier
1962909747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 621 S Erie Hwy
Hamilton, OH 45011-4315 - Phone
- (513) 795-7557
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
621 S Erie Hwy
Hamilton, OH 45011-4315
Mailing address
9190 Gila Dr
Cincinnati, OH 45251-3007
Phone (513) 344-4986
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": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1962909747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9190 GILA DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452513007",
"telephone_number": "513-344-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S ERIE HWY",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450114315",
"telephone_number": "513-795-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "ANGELA",
"middle_name": "DORETHA",
"credential": "LCDC III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.