Ryan Canfield
Individual provider Active NPI Professional Counselor · Westchester, IL
NPI 1043055676 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1043055676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180018337 (IL)
- Practice address
- 10616 Preston St
Westchester, IL 60154-5139 - Phone
- (708) 606-9048
- NPI assigned
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180018337 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Still Ridge Counseling PLLC | Current |
Accepting new patients | |
| Polina Reyngold, LTD | Professional | Past |
Accepting new patients |
| Still Ridge Ranch PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180018337 | IL | Yes |
Addresses
Primary practice location
10616 Preston St
Westchester, IL 60154-5139
Mailing address
10616 Preston St
Westchester, IL 60154-5139
Other practice location 1
622 Davis St Ste 200
Evanston, IL 60201-4491
Phone (773) 294-0176
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- Juan Lawrence Cabatu
- Shamara C Calhoun
- Katherine Campbell
- Jeffrey S Cantor
- Suzanna Carbrey
- Care Bridge Health Services, Inc.
- Lauren M Carniello
- Peter James Caron
All providers in Westchester, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.