Alisa Jo Ryan, M.S.ED., LIMHP

Key facts

NPI

1376792622

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

4710 (NE)

Practice address

514 W 11TH St
Kearney, NE 68845-7336

Phone

(308) 237-4085

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

No

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.

• Compass Mental Health Counselor · Kearney, NE · NPI 1528640323
  NPD Authorized official MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Alisa Jo Edgerton Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 3, 2026.

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1376792622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W 11TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457336",
            "telephone_number": "308-340-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W 11TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457336",
            "telephone_number": "308-237-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALISA",
        "middle_name": "JO",
        "credential": "M.S.ED., LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4710",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029607400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "EDGERTON",
            "middle_name": "JO",
            "credential": "LMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearney, NE

• Nicole Rush
• Heather Lynn Russell
• Reagan Jo Rust
• Ryan Martin Chiropractic LLC
• Ryan Smith Counseling Services, LLC
• Brianna Ryan
• Jacklin Saade
• Kylee Saathoff, OTR/L
• Benjamin Sachs, DC
• Sage Creek Integrative Health LLC

All providers in Kearney, NE · Mental Health Counselor in Nebraska