Active NPI
Ryan Daniel Worley, LPC, NCC
- Counselor
- Waukesha, WI
National Provider Identifier
1043824949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 20700 Watertown Rd
Waukesha, WI 53186-1800 - Phone
- (262) 782-1474
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
20700 Watertown Rd
Waukesha, WI 53186-1800
Mailing address
423 E Wabash Ave
Waukesha, WI 53186-6259
Phone (772) 932-4337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20700 Watertown Rd
Suite 102
Waukesha, WI 53186-1800
Phone (262) 782-1474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Resources, Inc. | Current | Accepting new patients |
Locations
20700 Watertown Rd
Ste 102
Waukesha, WI 53186
Phone (262) 782-1474
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Waukesha, WI
- NPI 1225061997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1043824949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 E WABASH AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531866259",
"telephone_number": "772-932-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20700 WATERTOWN RD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861800",
"telephone_number": "262-782-1474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "RYAN",
"middle_name": "DANIEL",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.