Individual provider Active NPI

Heather Ryan, MA, LPC-S

  • Mental Health Counselor
  • Pearland, TX
National Provider Identifier
1457115081
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76821 Issued in TX
Practice address
3820 Broadway St
Pearland, TX 77581-4220
Phone
(281) 810-9775
Fax
(281) 271-8941
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 76821 TX
Mental Health Counselor 101YM0800X 76821 TX Primary

Addresses

Primary practice location

3820 Broadway St
Pearland, TX 77581-4220

Mailing address

319 Falling Pine Dr
Conroe, TX 77304-5028
Phone (936) 537-6118

Other practice location 1

319 Falling Pine Dr
Conroe, TX 77304-5028
Phone (936) 537-6118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208001614 TX Practitioner - Mental Health Counselor 5890288864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3820 Broadway St
Pearland, TX 77581-4220

PO Box
Suite 186859
Hamden, CT 06518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
76821TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Horizon Counseling, LLC Professional CurrentSince Nov 25, 2025 Accepting new patients

Locations

3820 Broadway St
Pearland, TX 77581
Phone (281) 810-9775

Organizations & group practices 2

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1457115081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 FALLING PINE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045028",
            "telephone_number": "936-537-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814220",
            "telephone_number": "281-810-9775",
            "fax_number": "281-271-8941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Falling Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773045028",
            "country_code": "US",
            "telephone_number": "936-537-6118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "HEATHER",
        "credential": "MA, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76821",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.