Active NPI
Ryan Gay, M.A.
- Mental Health Counselor
- St Louis Park, MN
National Provider Identifier
1275958266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC01285
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 187873 | AK | MD | Mental Health Counselor |
| CC01285 | MN | MD | Mental Health Counselor |
| LH61101110 | WA | MD | Mental Health Counselor |
| 10739-125 | WI | MD | Mental Health Counselor |
| 1285 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Online Counseling LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.