Individual provider Active NPI

Ryan Joseph Napolitano, LPC

  • Mental Health Counselor
  • Cheshire, CT
National Provider Identifier
1396360145
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003845 Issued in CT
Practice address
975 Moss Farms Rd
Cheshire, CT 06410-3822
Phone
(571) 279-8890
NPI assigned
Jun 8, 2020
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 003845 CT Primary

Addresses

Primary practice location

975 Moss Farms Rd
Cheshire, CT 06410-3822

Mailing address

975 Moss Farms Rd
Cheshire, CT 06410-3822
Phone (571) 279-8890

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cheshire Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 2, 2024 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
003845CTMDMental Health Counselor
3845CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Depth, LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1396360145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 MOSS FARMS RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103822",
            "telephone_number": "571-279-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MOSS FARMS RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103822",
            "telephone_number": "571-279-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPOLITANO",
        "first_name": "RYAN",
        "middle_name": "JOSEPH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cheshire",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Cheshire",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cheshire",
            "address_1": "975 Moss Farms Rd",
            "city": "Cheshire",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064103822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.