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RAFAEL ANTONIO CORREA JR. LCDC III, CAP, ICADC
NPI 1154835007
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since November 29, 2017
2121 W 117TH ST, CLEVELAND, OH 44111(216) 417-4831 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Nov 17, 2023, Nov 29, 2017 (3 updates tracked since 2017).

About Rafael Antonio Correa Jr. Lcdc Iii, Cap, Icadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL ANTONIO CORREA JR. LCDC III, CAP, ICADC (NPI 1154835007) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Florida (0100569) and active in the NPI registry since November 2017. He maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1154835007
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRAFAEL ANTONIO CORREA JR.Credential: LCDC III, CAP, ICADC
Location Address2121 W 117TH STCleveland, OH 44111-1642
Mailing Address2121 W 117th StCleveland, OH 44111-1642 · (216) 417-4831
Phone(216) 417-4831
Sole ProprietorYes
Enumeration DateNovember 29, 2017
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1154835007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in FL · 0100569✔ Licensed in OH · 162613✔ Licensed in FL · 0000214
2121 W 117TH ST, Cleveland, OH 44111
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Secondary Practice Location 1

Location 11420 SW 1st StMiami, FL 33135-2203 · Phone (305) 859-3812

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA JEAN WELLS
Peer Specialist
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
MARK A STURDIVANT
Peer Specialist
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
KELLY WILLIAMS
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
KATHRYN LIEBERTH
Peer Specialist
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
FLORESTINE PLAIR LICDC
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
B. RILEY SOBER HOUSE
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
MELISSA WILLIAMSON
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
CHRISTINA JANE KEATING OCPRS
Peer Specialist
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Correa's NPI number?

The NPI number for Rafael Correa is 1154835007. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Rafael Correa located?

Rafael Correa practices at 2121 W 117th St, Cleveland, OH 44111. The listed phone number is (216) 417-4831.

What is Rafael Correa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rafael Correa was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.