Healthcare Provider Details

I. General information

NPI: 1164538963
Provider Name (Legal Business Name): JOSEPH MICHAEL ADRAY LPCCSC, LICDC, SAP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 CHILLICOTHE AVE
HILLSBORO OH
45133-7378
US

IV. Provider business mailing address

1571 STRAIT CREEK RD
PEEBLES OH
45660-9582
US

V. Phone/Fax

Practice location:
  • Phone: 937-393-4562
  • Fax: 937-393-2056
Mailing address:
  • Phone: 937-588-2621
  • Fax: 937-393-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number051040
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE2956
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE2956
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: