Ryan Klingensmith, NCC, LPC
Individual provider Active NPI Professional Counselor · Apollo, PA
NPI 1376897983 · NPPES record last updated Nov 5, 2012
Key facts
- NPI
- 1376897983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC006589 (PA)
- Practice address
- 4708 State Route 66
Apollo, PA 15613-1404 - Phone
- (724) 727-3343
- NPI assigned
- Nov 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC006589 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC006589 | PA | Yes |
Addresses
Primary practice location
4708 State Route 66
Apollo, PA 15613-1404
Mailing address
4708 State Route 66
Apollo, PA 15613-1404
Other providers in Apollo, PA
- Innovative Wellness Solutions LLC
- Ashley Johnson
- Keystone Rehabilitation Systems Inc
- Kiski Valley Community Medicine
- Kiski Valley Community Medicine, PC
- Daniel J Kupas
- Daniel Andrew Mangus Jr.
- Ruth D Martin-Pisarcik
- Emily Nicole Miknis
- Kathleen Teresa Nigra
All providers in Apollo, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.