Individual provider Active NPI

Colin McPhillips Ryan, L.P.C

  • Counseling Psychologist
  • Cary, IL
National Provider Identifier
1093952814
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
180.008477 Issued in IL
Practice address
60 Hickory LN
Cary, IL 60013-1525
Phone
(847) 999-5106
Fax
(847) 999-5106
NPI assigned
Jan 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 178.005814 IL
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 180.008477 IL Primary

Addresses

Primary practice location

60 Hickory LN
Cary, IL 60013-1525

Mailing address

60 Hickory LN
Cary, IL 60013-1525
Phone (847) 999-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 4, 2025 through Feb 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.008477ILMDCounseling Psychologist
178.005814ILMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1093952814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HICKORY LN",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131525",
            "telephone_number": "847-999-5106",
            "fax_number": "847-999-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HICKORY LN",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131525",
            "telephone_number": "847-999-5106",
            "fax_number": "847-999-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "COLIN",
        "middle_name": "MCPHILLIPS",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "178.005814",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "180.008477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.