Active NPI
Kaula Marie Ryks, MA, LPCC
- Professional Counselor
- New Brighton, MN
National Provider Identifier
1093183923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 01052
- Practice address
- 1900 Silver Lake Road NW
Suite 110
New Brighton, MN 55112 - Phone
- (651) 379-1718
- Fax
- (651) 379-1738
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- 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 | 01052 | MN | Primary |
Addresses
Primary practice location
1900 Silver Lake Road NW
Suite 110
New Brighton, MN 55112
Mailing address
11010 Prairie Lakes Dr
Eden Prairie, MN 55344-3884
Phone (952) 746-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 1St Ave NE
New Prague, MN 56071-1824
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052 | MN | MD | Professional Counselor |
| 1052 | MN | MD | Registered Dietetic Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Family Services, LTD. | Professional | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1093183923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11010 PRAIRIE LAKES DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443884",
"telephone_number": "952-746-2522",
"fax_number": "952-746-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE ROAD NW",
"address_2": "SUITE 110",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "55112",
"telephone_number": "651-379-1718",
"fax_number": "651-379-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYKS",
"first_name": "KAULA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "01052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brighton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.