Active NPI
Katey Ryan, SACIT
- Addiction (Substance Use Disorder) Counselor
- Beaver Dam, WI
National Provider Identifier
1306684436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 20202-130
- Practice address
- 115 N Center St
Beaver Dam, WI 53916-2119 - Phone
- (920) 887-1766
- NPI assigned
- Jul 15, 2024
- Last updated
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20202-130 | WI | Primary |
Addresses
Primary practice location
115 N Center St
Beaver Dam, WI 53916-2119
Mailing address
705 E Nevada Ave
Oshkosh, WI 54901-3060
Phone (920) 254-1727
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20202-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1306684436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E NEVADA AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549013060",
"telephone_number": "920-254-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N CENTER ST",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162119",
"telephone_number": "920-887-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "KATEY",
"credential": "SACIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "20202-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, WI
- Natalie Ross, DNP, FNP-BC, RN
- Diane Marie Rundle, WHNP
- RWH Investments LLC (Home Instead Senior Care)
- Ellen Ryan, RDH
- Hunter Olivia Ryan, NP
- Kaitlyn Rose Rychlowski, APNP, PMHNP-BC
- Safe & Sound Anesthesia Services, Inc
- Ayaz M Samadani, MD
- Sarah Christine Samuelson, MS/CCC-SLP
- Julie Anna Saniter, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.