MR. RAY LEWIS SUELL JR. LCDC
NPI 1215773684
Counselor - Addiction (Substance Use Disorder) in Tyler, TX

Active since July 05, 2024PECOS Enrolled
10875 PINEWOOD DR, TYLER, TX 75703(903) 266-0850 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ray Lewis Suell Jr. Lcdc NPPES

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

MR. RAY LEWIS SUELL JR. LCDC (NPI 1215773684) is an individual addiction (substance use disorder) provider in Tyler, Texas, licensed in Texas (13955) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215773684
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RAY LEWIS SUELL JR.Credential: LCDC
Location Address10875 PINEWOOD DRTyler, TX 75703-9448
Mailing Address10875 Pinewood DrTyler, TX 75703-9448 · (903) 266-0850
Sole ProprietorNo
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
NPI 1215773684 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
License Licensed in TX · 13955
10875 PINEWOOD DR, Tyler, TX 75703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Ray Lewis Suell Jr. Lcdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Ray Suell's NPI number?

The NPI number for Ray Suell is 1215773684. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Ray Suell located?

Ray Suell practices at 10875 Pinewood Dr, Tyler, TX 75703. The listed phone number is (903) 266-0850.

What is Ray Suell's specialty?

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

Is Ray Suell enrolled in Medicare?

Yes. Ray Suell is registered in the Medicare PECOS enrollment system.

What insurance does Ray Suell accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Ray Suell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ray Suell was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.