Individual provider Active NPI

Deborah Ann Ryken, MS, PLPC

  • Professional Counselor
  • Lees Summit, MO
National Provider Identifier
1104158872
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010002433 Issued in MO
Practice address
410B SE 3Rd St Ste 101
Lees Summit, MO 64063-2842
Phone
(816) 522-8866
Fax
(816) 690-8293
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2010002433 MO Primary

Addresses

Primary practice location

410B SE 3Rd St Ste 101
Lees Summit, MO 64063-2842

Mailing address

510 S Oak St
Bates City, MO 64011-9124
Phone (816) 522-8866

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2010002433MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1104158872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S OAK ST",
            "city": "BATES CITY",
            "state": "MO",
            "postal_code": "640119124",
            "telephone_number": "816-522-8866",
            "fax_number": "816-690-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410B SE 3RD ST STE 101",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632842",
            "telephone_number": "816-522-8866",
            "fax_number": "816-690-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKEN",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010002433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.