Active NPI
Mark Allen Ryan, M.A.
- Counselor
- Butte, MT
National Provider Identifier
1306171194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1365
- Practice address
- 3242 Quincy St
Butte, MT 59701-4444 - Phone
- (406) 498-5836
- NPI assigned
- Oct 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1365 | MT | Primary |
| Professional Counselor | 101YP2500X | 002638 | MO | |
| Marriage & Family Therapist | 106H00000X | 300130 | MO |
Addresses
Primary practice location
3242 Quincy St
Butte, MT 59701-4444
Mailing address
3242 Quincy St
Butte, MT 59701-4444
Phone (406) 498-5836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002638 | MO | MD | Professional Counselor |
| 300130 | MO | MD | Marriage & Family Therapist |
| 1365 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1306171194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3242 QUINCY ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597014444",
"telephone_number": "406-498-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3242 QUINCY ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597014444",
"telephone_number": "406-498-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-12",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MT",
"license": "1365",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "002638",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "300130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.