Individual provider Active NPI

Caitlin Ryan Lawrence, MA, LPC

  • Professional Counselor
  • King of Prussia, PA
National Provider Identifier
1316499882
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009245 Issued in PA
Practice address
120 Valley Green LN Ste 660
King of Prussia, PA 19406-2079
Phone
(888) 227-3898
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009245 PA Primary

Addresses

Primary practice location

120 Valley Green LN Ste 660
King of Prussia, PA 19406-2079

Mailing address

53 Ardmore Ave
Lansdowne, PA 19050-1803
Phone (609) 558-6980

Other practice location 1

51 Greenhill Ln
Wynnewood, PA 19096-3423
Phone (609) 558-6980

Other practice location 2

53 Ardmore Ave
Lansdowne, PA 19050-1803
Phone (609) 558-6980

Other names 1

  • Ms. Caitlin Ryan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231219000329 PA Practitioner - Mental Health Counselor 1759716665 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
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

3855 W Chester Pike
160 MLHC Women's Emotional Wellness
Newtown Square, PA 19073-2304
Phone (484) 337-6310

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Jan 1, 2024 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

120 Valley Green Ln
Ste 510
King of Prussia, PA 19406
Phone (484) 324-7100

120 Valley Green Ln
Ste 660
King of Prussia, PA 19406
Phone (484) 324-7100

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

3855 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-6300

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1316499882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ARDMORE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190501803",
            "telephone_number": "609-558-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VALLEY GREEN LN STE 660",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062079",
            "telephone_number": "888-227-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Greenhill Ln",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190963423",
            "country_code": "US",
            "telephone_number": "609-558-6980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Ardmore Ave",
            "address_purpose": "LOCATION",
            "city": "Lansdowne",
            "state": "PA",
            "postal_code": "190501803",
            "country_code": "US",
            "telephone_number": "609-558-6980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "CAITLIN",
        "middle_name": "RYAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "RYAN",
            "prefix": "MS.",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.