Individual provider Active NPI

Andrea Ryan, L.P.C.C.

  • Mental Health Counselor
  • Perrysburg, OH
National Provider Identifier
1073052056
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1600839 Issued in OH
Practice address
217 W 3Rd St
Perrysburg, OH 43551-1414
Phone
(419) 490-4601
NPI assigned
Feb 23, 2017
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 1600839 OH Primary

Addresses

Primary practice location

217 W 3Rd St
Perrysburg, OH 43551-1414

Mailing address

3543 Edgevale Rd
Ottawa Hills, OH 43606-2638
Phone (419) 490-4601

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
1600839OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karuna House LLC Mental Health CurrentSince Jun 15, 2025 Accepting new patients
Karuna House Intensives LLC Professional PastSince Jun 15, 2025 Accepting new patients

Locations

217 W 3rd St
Perrysburg, OH 43551
Phone (419) 466-9891

5648 Main St
Sylvania, OH 43560
Phone (419) 345-2299

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1073052056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 EDGEVALE RD",
            "city": "OTTAWA HILLS",
            "state": "OH",
            "postal_code": "436062638",
            "telephone_number": "419-490-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W 3RD ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511414",
            "telephone_number": "419-490-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANDREA",
        "credential": "L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1600839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.