Organization Active NPI

Ryan Counseling Services Inc.

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1154854925
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010005 Issued in IL
Legal business name
RYAN COUNSELING SERVICES INC.
Practice address
8600 US Highway 14
Suite 205B
Crystal Lake, IL 60012-2706
Phone
(847) 800-6722
Fax
(847) 516-2856
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Mrs. Joan M Ryan, LCPC
Title
President
Phone
(847) 800-6722

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 180.010005 IL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.010005 IL Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.010005 IL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 180.010005 IL

Addresses

Primary practice location

8600 US Highway 14
Suite 205B
Crystal Lake, IL 60012-2706

Mailing address

PO Box 188
Attn: Joan M. Ryan, LCPC
Cary, IL 60013-0188
Phone (847) 800-6722

National Provider Directory

National Provider Directory

Locations

8600 US Highway 14
Ste 205B
Crystal Lake, IL 60012
Phone (847) 800-6722

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1154854925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "address_2": "ATTN: JOAN M. RYAN, LCPC",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600130188",
            "telephone_number": "847-800-6722",
            "fax_number": "847-516-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 US HIGHWAY 14",
            "address_2": "SUITE 205B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122706",
            "telephone_number": "847-800-6722",
            "fax_number": "847-516-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-800-6722",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.010005",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010005",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010005",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "180.010005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.