Individual provider Active NPI

Ryne Druery

  • Mental Health Counselor
  • Lancaster, PA
National Provider Identifier
1497298012
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC017273 Issued in PA
Practice address
2741 Lititz Pike FL 1
Lancaster, PA 17601-3377
Phone
(717) 394-2631
NPI assigned
Nov 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC017273 PA Primary

Addresses

Primary practice location

2741 Lititz Pike FL 1
Lancaster, PA 17601-3377

Mailing address

2741 Lititz Pike FL 1
Lancaster, PA 17601-3377
Phone (717) 569-8511

Other identifiers 1

IdentifierTypeStateIssuer
102888687MedicaidPA

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
PC017273PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates of Lancaster Inc PastSince Jul 21, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1497298012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 LITITZ PIKE FL 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013377",
            "telephone_number": "717-569-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 LITITZ PIKE FL 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013377",
            "telephone_number": "717-394-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUERY",
        "first_name": "RYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102888687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.