Ryan Coburn-Phillips

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

699 Hertel Ave Ste 350
Buffalo, NY 14207-2341

Phone

(716) 831-1977

NPI assigned

Sep 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ryan Phillips Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Horizon Health Services IncGroup PAC ID 5698689925, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Horizon Health Services Inc

  • Community/Behavioral Health Agency
  • Getzville, NY
  • NPI 1043387152
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1508416033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DODGE RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681205",
            "telephone_number": "716-831-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 HERTEL AVE STE 350",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142072341",
            "telephone_number": "716-831-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN-PHILLIPS",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "PHILLIPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Clyburn, LPN
• Tori Clyde, OTR/L
• John Patrick Co
• Daijha Caprice Cobbs, NP
• Christine Coburn Miller, RD
• Brandon Michael Coburn, MS, RN, ANP-BC
• Henry Steven Cochran II, LPN
• Janice Lynn Cochran
• Kym Alyssa Cochran, RN, BSN
• Michael Edward Cochran, D.C.

• Mental Health Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.