Active NPI
Ralph N Kyser III, LPC
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1083450878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017172
- Practice address
- 5309 N Sydenham St
Philadelphia, PA 19141-1619 - Phone
- (215) 888-4235
- NPI assigned
- Jul 2, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC017172 | PA | Primary |
Addresses
Primary practice location
5309 N Sydenham St
Philadelphia, PA 19141-1619
Mailing address
5309 N Sydenham St
Philadelphia, PA 19141-1619
Phone (215) 888-4235
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC017172 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1083450878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 N SYDENHAM ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191411619",
"telephone_number": "215-888-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5309 N SYDENHAM ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191411619",
"telephone_number": "215-888-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYSER",
"first_name": "RALPH",
"middle_name": "N",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.