Active NPI
Ryan Black Sayre, LCMHC NCC BCBA
- Professional Counselor
- Wilmington, NC
National Provider Identifier
1114271202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9387
- Practice address
- 213 Brookwood Ave
Wilmington, NC 28403-1111 - Phone
- (540) 421-6220
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-18584 | ||
| Professional Counselor | 101YP2500X | 9387 | NC | Primary |
Addresses
Primary practice location
213 Brookwood Ave
Wilmington, NC 28403-1111
Mailing address
213 Brookwood Ave
Wilmington, NC 28403-1111
Phone (540) 421-6220
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 |
|---|---|---|---|
| 9387 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1114271202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 BROOKWOOD AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031111",
"telephone_number": "540-421-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 BROOKWOOD AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031111",
"telephone_number": "540-421-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYRE",
"first_name": "RYAN",
"middle_name": "BLACK",
"name_prefix": "Mrs.",
"credential": "LCMHC NCC BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-18584",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.