Individual provider Active NPI

John Ryan

  • Counselor
  • Alamosa, CO
National Provider Identifier
1093116113
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone
(719) 589-3671
NPI assigned
Sep 8, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

8745 County Road 9 S
Alamosa, CO 81101-9610

Mailing address

PO Box 7
Poncha Springs, CO 81242-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212002256 CO Practitioner - Mental Health Counselor 7618310152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8745 County Rd 9
Alamosa, CO 81101-9610
Phone (719) 589-3671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Valley Community Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Current Accepting new patients
San Luis Valley Community Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients
San Luis Valley Community Mental Health Center, Inc. Past Accepting new patients

Locations

311 San Juan Ave
Alamosa, CO 81101

522 Alamosa Ave
Alamosa, CO 81101

8745 County Road 9 S
Alamosa, CO 81101
Phone (719) 587-5612

14443 US Highway 160
Del Norte, CO 81132

402 4th Ave
Monte Vista, CO 81144

Organizations & group practices 6

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": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1093116113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "PONCHA SPRINGS",
            "state": "CO",
            "postal_code": "812420007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.