Active NPI
Ryan Guterl, LPC
- Professional Counselor
- Succasunna, NJ
National Provider Identifier
1508412230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00601400
- Practice address
- 106 Route 10
Succasunna, NJ 07876-1734 - Phone
- (201) 456-7522
- NPI assigned
- Aug 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 004661 | CT | |
| Professional Counselor | 101YP2500X | 37PC00601400 | NJ | Primary |
Addresses
Primary practice location
106 Route 10
Succasunna, NJ 07876-1734
Mailing address
106 Route 10
Succasunna, NJ 07876-1734
Phone (201) 456-7522
Other practice location 1
1 Long Wharf Dr
New Haven, CT 06511-5991
Phone (855) 859-8810
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 |
|---|---|---|---|
| 004661 | CT | MD | Professional Counselor |
| 37PC00601400 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center at Clark, LLC | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- West Caldwell, NJ
- NPI 1578343968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1508412230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ROUTE 10",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761734",
"telephone_number": "201-456-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ROUTE 10",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761734",
"telephone_number": "201-456-7522"
}
],
"practiceLocations": [
{
"address_1": "1 Long Wharf Dr",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065115991",
"country_code": "US",
"telephone_number": "855-859-8810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTERL",
"first_name": "RYAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-19",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "004661",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00601400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.