Individual provider Active NPI

Ryan C Gunnell, M.S. LMFT

  • Marriage & Family Therapist
  • Valdosta, GA
National Provider Identifier
1346550100
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001163 Issued in GA
Practice address
2405 Bemiss Rd
Valdosta, GA 31602-1936
Phone
(229) 333-2351
Fax
(229) 333-2353
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001163 GA Primary

Addresses

Primary practice location

2405 Bemiss Rd
Valdosta, GA 31602-1936

Mailing address

2405 Bemiss Rd
Valdosta, GA 31602-1936

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 Science

State licenses

LicenseStateTypeSpecialty
MFT001163GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceway Counseling & Mediation Services Inc. PastSince Mar 6, 2026 Accepting new patients
One-to-One Psychological Services Past Accepting new patients

Organizations & group practices 2

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1346550100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021936",
            "telephone_number": "229-333-2351",
            "fax_number": "229-333-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELL",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "M.S. LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.