Active NPI
Raymond Charles Ortega, LPC
- Professional Counselor
- Jacksonville, AR
National Provider Identifier
1982841854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P8103098
- Practice address
- 707 S 1St St
Jacksonville, AR 72076-6002 - Phone
- (501) 985-0292
- NPI assigned
- Jan 14, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P8103098 | AR | Primary |
Addresses
Primary practice location
707 S 1St St
Jacksonville, AR 72076-6002
Mailing address
2003 Clapboard Hill Rd
Little Rock, AR 72227-5531
Phone (501) 227-0141
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
| License | State | Type | Specialty |
|---|---|---|---|
| P8103098 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Services of Jacksonville PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Jacksonville, AR
- NPI 1215955638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1982841854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 CLAPBOARD HILL RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722275531",
"telephone_number": "501-227-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S 1ST ST",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720766002",
"telephone_number": "501-985-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "RAYMOND",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-14",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P8103098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.