Individual provider Active NPI

Lauren Ryan

  • Mental Health Counselor
  • Kenmore, NY
National Provider Identifier
1043965262
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P124469 Issued in NY
Practice address
1129 Kenmore Ave
Kenmore, NY 14217-2845
Phone
(716) 217-0010
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P124469 NY Primary

Addresses

Primary practice location

1129 Kenmore Ave
Kenmore, NY 14217-2845

Mailing address

1129 Kenmore Ave
Kenmore, NY 14217-2845
Phone (716) 217-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P124469NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Mental Health Counselors, PLLC Counselor CurrentSince Aug 10, 2025 Accepting new patients
Erie County South East Corp V PastSince Jan 1, 2024 Accepting new patients

Locations

1129 Kenmore Ave
Kenmore, NY 14217
Phone (716) 217-0010

Organizations & group practices 2

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1043965262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172845",
            "telephone_number": "716-217-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172845",
            "telephone_number": "716-217-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P124469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.