Active NPI
Jessica Suzanne Ryan, PHD
- Mental Health Counselor
- Robertsdale, AL
National Provider Identifier
1508126673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3307
- Practice address
- 22011 State Highway 59 S
Robertsdale, AL 36567-8745 - Phone
- (251) 509-5100
- NPI assigned
- May 23, 2012
- Last updated
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3307 | AL | Primary |
Addresses
Primary practice location
22011 State Highway 59 S
Robertsdale, AL 36567-8745
Mailing address
22011 State Highway 59 S
Robertsdale, AL 36567-8745
Phone (251) 509-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 5, 2025 through Nov 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3307 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1508126673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22011 STATE HIGHWAY 59 S",
"city": "ROBERTSDALE",
"state": "AL",
"postal_code": "365678745",
"telephone_number": "251-509-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22011 STATE HIGHWAY 59 S",
"city": "ROBERTSDALE",
"state": "AL",
"postal_code": "365678745",
"telephone_number": "251-509-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JESSICA",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "3307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robertsdale, AL
- Robertsdale Nursing Home, Inc. (Robertsdale Outpatient Rehabilitation Clinc)
- Robertsdale Urgent Care LLC
- Deanna Adlington Robinson, M.S.,CCC-SLP
- Douglas Blake Rodenberry, PHARMD
- Annelise Romine, COTA/L
- Sacred Angels LLC
- Eugene Saiter, M.D.
- Michael T Sanford, MD
- Pamela L. Savage, DSW, LICSW
- Leigh Merritt Segrest, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.