Ryan Kincaid

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5059 Issued in LA

Practice address

PO Box 593
Winnsboro, LA 71295-0593

Phone

(318) 435-7061

Fax

(318) 435-7063

NPI assigned

May 24, 2024

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Fresh Start Outreach Ministries Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Winnsboro, LA
  • NPI 1649015926
  NPD
• Fresh Start Outreach Ministries Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winnsboro, LA
  • NPI 1871299370
  NPD (past)

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1194564435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712950593",
            "telephone_number": "318-435-7061",
            "fax_number": "318-435-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712950593",
            "telephone_number": "318-435-7061",
            "fax_number": "318-435-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Just Health
• Just Health
• K & S Drugs Inc
• Tonya Keene, OT
• Richard D Kelly
• Stephanie A Knight, APRN, FNP-C
• La Xpress Transportation LLC
• Laboratory Corporation of America Holdings
• Janna Carpenter Lambert, FNP
• Lavell'S Medical Transportation, LLC

• Addiction (Substance Use Disorder) Counselor in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.