Individual provider Active NPI

Ryan Andrew Barclay, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1124636030
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-19411 Issued in AZ
Practice address
1934 E Camelback Rd # 120-513
Phoenix, AZ 85016-4126
Phone
(602) 638-1658
Fax
(602) 462-8737
NPI assigned
Jul 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C10342 OR
Mental Health Counselor 101YM0800X LPC-19411 AZ Primary

Addresses

Primary practice location

1934 E Camelback Rd # 120-513
Phoenix, AZ 85016-4126

Mailing address

1934 E Camelback Rd # 120-513
Phoenix, AZ 85016-4126
Phone (602) 638-1658

Other identifiers 1

IdentifierTypeStateIssuer
084043MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ryan@GrowingaBonsai.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131000213 AZ Practitioner - Mental Health Counselor 7315476678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1934 E Camelback Rd
Suite 120 513
Phoenix, AZ 85016-4126
Phone (602) 638-1658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19411AZMDMental Health Counselor
C10342ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Growing a Bonsai LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

1934 E Camelback Rd
#120512
Phoenix, AZ 85016

1934 E Camelback Rd
#120513
Phoenix, AZ 85016
Phone (602) 638-1658

1934 E Camelback Rd
Ste 120513
Phoenix, AZ 85016
Phone (480) 213-4463

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1124636030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD # 120-513",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164126",
            "telephone_number": "602-638-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD # 120-513",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164126",
            "telephone_number": "602-638-1658",
            "fax_number": "602-462-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C10342",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084043",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ryan@GrowingaBonsai.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1934 E Camelback Rd # 120-513",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850164126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.