Ryan Deboer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017109 Issued in MI

Practice address

2395 Jolly Rd Ste 160
Okemos, MI 48864-5977

Phone

(517) 301-5399

NPI assigned

Mar 30, 2017

Last updated

Jun 26, 2020By 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

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring Forest Counseling LLPGroup PAC ID 4183043698, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Spring Forest Counseling LLP

  • Mental Health Counselor
  • Okemos, MI
  • NPI 1841744299
  Medicare reassignment Care Compare group NPD
• Red Cedar Counseling

  • Adult Mental Health Clinic/Center
  • Okemos, MI
  • NPI 1629668587
  NPD Authorized official
• R Christopher Deboer PLLC

  dba Red Cedar Relationship Counseling

  • Adult Mental Health Clinic/Center
  • Okemos, MI
  • NPI 1225594187
  Authorized official Same address or phone

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1164954053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 JOLLY RD STE 160",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645977",
            "telephone_number": "517-918-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 JOLLY RD STE 160",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645977",
            "telephone_number": "517-301-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 Glencoe Hills Dr Apt 12",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081022",
            "country_code": "US",
            "telephone_number": "517-918-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corey Decker

• Professional Counselor in Okemos, MI
• Providers in Okemos, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.