Ryan Donovan

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

82791 Issued in TX

Practice address

3000 Polar LN Ste 602
Cedar Park, TX 78613-3073

Phone

(832) 465-0100

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Water Stone Fire Darkness PLLC

  • Adult Mental Health Clinic/Center
  • Cedar Park, TX
  • NPI 1427769181
  NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1114638863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15409 FITZHUGH RD",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786205003",
            "telephone_number": "832-465-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 POLAR LN STE 602",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133073",
            "telephone_number": "832-465-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dodds, CPNP-PC
• Michelle Elaine Doerr, IBCLC/RN
• Gwence Domansi
• Kimberly Ann Domke, RDN
• Linda Susan Donovan, CPNP, FNPC
• Jessica Scruggs Dorsey, MD
• Helen Cathryn Douglas, FNP-C
• Dowden Managment Co., LLC (101 Mobility)
• Dr Richard J Wiseman PA
• Dr. B.D. Fuller & Assoc

• Professional Counselor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.