Individual provider Active NPI

Ryan Pescaia, MS, LPC-A

  • Counselor
  • Houston, TX
National Provider Identifier
1124801634
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4119 Montrose Blvd Ste 460
Houston, TX 77006-4966
Phone
(713) 510-3507
NPI assigned
Aug 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

4119 Montrose Blvd Ste 460
Houston, TX 77006-4966

Mailing address

4119 Montrose Blvd Ste 460
Houston, TX 77006-4966
Phone (713) 807-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260204002671 TX Practitioner - Mental Health Counselor 8224517859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4119 Montrose Blvd
Suite 460
Houston, TX 77006-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Good Vibes Therapy PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

4119 Montrose Blvd
Ste 460
Houston, TX 77006
Phone (713) 510-3507

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1124801634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 MONTROSE BLVD STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064966",
            "telephone_number": "713-807-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 MONTROSE BLVD STE 460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064966",
            "telephone_number": "713-510-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCAIA",
        "first_name": "RYAN",
        "credential": "MS, LPC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.