Active NPI
Marilyn Marjorie Ryley, L.C.P.C.
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1245379338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 437
- Practice address
- 2149 Durston Rd Ste 31
Bozeman, MT 59718-2805 - Phone
- (406) 580-7135
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 437 | MT | Primary |
Addresses
Primary practice location
2149 Durston Rd Ste 31
Bozeman, MT 59718-2805
Mailing address
2149 Durston Rd Ste 31
Bozeman, MT 59718-2805
Phone (406) 580-7135
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255294 | Medicaid | MT | |
| 07487-6 | Other | MT | BLUE CROSS PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240708000961 | MT | Practitioner - Mental Health Counselor | 0446698104 | Practice locations: Bozeman, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2149 Durston Rd
Suite 31
Bozeman, MT 59718-2805
Phone (406) 580-7135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 437 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1245379338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 DURSTON RD STE 31",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597182805",
"telephone_number": "406-580-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2149 DURSTON RD STE 31",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597182805",
"telephone_number": "406-580-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYLEY",
"first_name": "MARILYN",
"middle_name": "MARJORIE",
"name_prefix": "Ms.",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255294",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NO.",
"identifier": "07487-6",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.