Active NPI
Joanne M Ryan, LADC1
- Addiction (Substance Use Disorder) Counselor
- Greenfield, MA
National Provider Identifier
1467514877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 338
- Practice address
- 215 Shelburne Rd
Greenfield, MA 01301-9622 - Phone
- (413) 774-1000
- Fax
- (413) 774-1197
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 338 | MA | Primary |
Addresses
Primary practice location
215 Shelburne Rd
Greenfield, MA 01301-9622
Mailing address
92 Breckwood Blvd
Springfield, MA 01109-1303
Phone (413) 785-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338 | Other | MA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 338 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical & Support Options, Inc | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Greenfield, MA
- NPI 1831265115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467514877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 BRECKWOOD BLVD",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011091303",
"telephone_number": "413-785-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SHELBURNE RD",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013019622",
"telephone_number": "413-774-1000",
"fax_number": "413-774-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JOANNE",
"middle_name": "M",
"credential": "LADC1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "338",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.