Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689447930 Individual Practitioner Male Practitioner

Ralph Michael Captain

Peer Specialist • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Ralph Captain is a registered healthcare professional specializing in Peer Specialist in Dayton, OH. Practice services are available at 1 ELIZABETH PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Elizabeth Pl

Dayton, OH 454173445

Telephone 9375204800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
179 Specialists

Practicing in Dayton, OH (3139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.003572

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.186820

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Ohio Mental Health And Addiction Services
APS.003572 (OH)

Secondary Practice Locations

282 Stelton Rd

Xenia, OH 453855220

Phone: 9377088348

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Thron Nash

Counselor - Addiction (Substance Use Disorder)

NPI 1124729173
Kedarea Young

Counselor - Addiction (Substance Use Disorder)

NPI 1164368916
Kristopher Danner , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1386393734

Chemical Dependency Counselor Assistant

Pamela Stanley

Counselor - Addiction (Substance Use Disorder)

NPI 1427889567
Barbara Quigley

Peer Specialist

NPI 1538879689
Kristoffer Cook , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1609608173

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address June 17, 2024

Registered at PO BOX 212, XENIA, OH 453850212 (Tel: 9377088348)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Counselor (License #CDCA.186820 in OH)

NPI Profile Active October 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2023

Registered at 1 ELIZABETH PL, DAYTON, OH 454173445 (Tel: 9375204800)

📍
Updated Business Mailing Address October 30, 2023

Registered at 67 1/2 W 2ND ST, XENIA, OH 453853523 (Tel: 5135710649)

👤
Provider Name / Credentials Updated October 30, 2023

Recorded as RALPH CAPTAIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Counselor (License #APS.003572 in OH)

🟢
Initial NPI Registration & Enumeration October 30, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689447930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2023
Last Update: June 17, 2024
Sole Proprietor: No

Mailing Address

Po Box 212

Xenia, OH 453850212

Phone: 9377088348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.