Ryan Wells Meyer, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01041 Issued in MN

Practice address

1150 Montreal Ave Ste 107
Saint Paul, MN 55116-2393

Phone

(651) 313-8080

Fax

(651) 433-7122

NPI assigned

Jul 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 8, 2024 through Mar 8, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Therapist Cooperative Practice PLLC

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1447068697
  NPD Authorized official
• Ellie Family Services, PLLP

  • Community/Behavioral Health Agency
  • Mendota Heights, MN
  • NPI 1740664150
  NPD (past)
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386028199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVE STE 107",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162393",
            "telephone_number": "651-313-8080",
            "fax_number": "651-433-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVE STE 107",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162393",
            "telephone_number": "651-313-8080",
            "fax_number": "651-433-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1385 Mendota Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Mendota Heights",
            "state": "MN",
            "postal_code": "55120",
            "country_code": "US",
            "telephone_number": "612-845-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "RYAN",
        "middle_name": "WELLS",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01041",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Gordon Meyer, MA
• Graham Meyer
• Gregory H Meyer, M.A. L.P.
• Lowell J Meyer, LICSW
• Mary Ann Meyer, MA, LP
• Christie Marie Meyerdirk Cuttell, LICSW
• Katelyn Meyers, OTR/L
• Katie Larae Meyers, PHARMD
• Maggie Meyers, M.A., LPCC
• Sara Mezzano, RN

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.