Individual provider Active NPI

Emily K Ryzuk, ED.S., LPC, NCC

  • Professional Counselor
  • Morristown, NJ
National Provider Identifier
1407213861
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00535100 Issued in NJ
Practice address
18 Macculloch Ave
2ND Floor
Morristown, NJ 07960-9448
Phone
(973) 476-1329
NPI assigned
Jan 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00535100 NJ Primary

Addresses

Primary practice location

18 Macculloch Ave
2ND Floor
Morristown, NJ 07960-9448

Mailing address

18 Macculloch Ave
2ND Floor
Morristown, NJ 07960-9448
Phone (973) 476-1329

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

State licenses

LicenseStateTypeSpecialty
37PC00535100NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Healing Trauma Inc Current Accepting new patients

Locations

18 Macculloch Ave
Ste 2
Morristown, NJ 07960
Phone (973) 476-1329

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.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1407213861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MACCULLOCH AVE",
            "address_2": "2ND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609448",
            "telephone_number": "973-476-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MACCULLOCH AVE",
            "address_2": "2ND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079609448",
            "telephone_number": "973-476-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYZUK",
        "first_name": "EMILY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "ED.S., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00535100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.