Active NPI
Ryan Cruikshank, LPCA
- Professional Counselor
- Norwalk, CT
National Provider Identifier
1053092007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 21 Ann St Apt B32
Norwalk, CT 06854-2288 - Phone
- (203) 912-7639
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
21 Ann St Apt B32
Norwalk, CT 06854-2288
Mailing address
21 Ann St Apt B32
Norwalk, CT 06854-2288
Other practice location 1
21 Ann St Apt B32
Norwalk, CT 06854-2288
Phone (203) 912-7639
Other names 1
- Ryan Cruikshank
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Health and Wellness LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Danbury, CT
- NPI 1609628619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1053092007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 ANN ST APT B32",
"city": "NORWALK",
"state": "CT",
"postal_code": "068542288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ANN ST APT B32",
"city": "NORWALK",
"state": "CT",
"postal_code": "068542288",
"telephone_number": "203-912-7639"
}
],
"practiceLocations": [
{
"address_1": "21 Ann St Apt B32",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068542288",
"country_code": "US",
"telephone_number": "203-912-7639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUIKSHANK",
"first_name": "RYAN",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RYAN",
"last_name": "CRUIKSHANK",
"credential": "LPCA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.