Individual provider Active NPI

Ryan Gay, M.A.

  • Mental Health Counselor
  • St Louis Park, MN
National Provider Identifier
1275958266
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC01285 Issued in MN
Practice address
5354 Parkdale Dr FL 2
St Louis Park, MN 55416-1603
Phone
(888) 364-5977
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10739-125 WI
Mental Health Counselor 101YM0800X LH61101110 WA
Mental Health Counselor 101YM0800X CC01285 MN Primary
Mental Health Counselor 101YM0800X 187873 AK

Addresses

Primary practice location

5354 Parkdale Dr FL 2
St Louis Park, MN 55416-1603

Mailing address

5354 Parkdale Dr FL 2
St Louis Park, MN 55416-1603

Other practice location 1

7525 Mitchell Rd
Eden Prairie, MN 55344-1959
Phone (952) 224-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240628002379 MN Practitioner - Mental Health Counselor 4789128919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Online Counseling LLCGroup PAC ID 3072849207, 13 clinicians

Practice addresses (Care Compare)

1310 Hwy 96 E
Suite 104C
White Bear Lake, MN 55110-3618
Phone (651) 756-7590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187873AKMDMental Health Counselor
CC01285MNMDMental Health Counselor
LH61101110WAMDMental Health Counselor
10739-125WIMDMental Health Counselor
1285MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Online Counseling LLC CurrentSince May 15, 2024 Accepting new patients

Locations

1310 Highway 96 E
Ste 104C
White Bear Lake, MN 55110
Phone (651) 243-2747

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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1275958266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR FL 2",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR FL 2",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161603",
            "telephone_number": "888-364-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 Mitchell Rd",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553441959",
            "country_code": "US",
            "telephone_number": "952-224-2282",
            "fax_number": "952-224-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAY",
        "first_name": "RYAN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10739-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61101110",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01285",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "187873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.