Individual provider Active NPI

Ryan Jeffrey Dallatore, LPC

  • Professional Counselor
  • Morgantown, WV
National Provider Identifier
1043752744
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2298 Issued in WV
Practice address
652 Madigan Ave
Morgantown, WV 26501-6716
Phone
(304) 777-8227
NPI assigned
Nov 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009282 PA
Professional Counselor 101YP2500X 2298 WV Primary

Addresses

Primary practice location

652 Madigan Ave
Morgantown, WV 26501-6716

Mailing address

652 Madigan Ave
Morgantown, WV 26501-6716
Phone (304) 777-8227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260408001134 WV Practitioner - Mental Health Counselor 3072088939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1445 Stewartstown Rd
Suite 200
Morgantown, WV 26505-0006

652 Madigan Ave
Morgantown, WV 26501-6716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC009282PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Dallatore Professional CurrentSince Dec 10, 2023 Accepting new patients
Family Behavioral Resources, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1043752744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 MADIGAN AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016716",
            "telephone_number": "304-777-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 MADIGAN AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016716",
            "telephone_number": "304-777-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLATORE",
        "first_name": "RYAN",
        "middle_name": "JEFFREY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009282",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.