Individual provider Active NPI

Ryan Lee Stanley, CPC

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1508447368
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5777 Issued in NV
Practice address
1820 E Warm Springs Rd Ste 140
Las Vegas, NV 89119-4593
Phone
(702) 779-3956
Fax
(702) 779-3957
NPI assigned
Apr 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CP5777 NV Primary

Addresses

Primary practice location

1820 E Warm Springs Rd Ste 140
Las Vegas, NV 89119-4593

Mailing address

56 E Serene Ave Unit 101
Las Vegas, NV 89123-3741
Phone (702) 355-9699

Other practice location 1

3606 N Rancho Dr Ste 142
Las Vegas, NV 89130-3130
Phone (702) 778-5300

Other identifiers 1

IdentifierTypeStateIssuer
100521663MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20250321000712 NV Practitioner - Mental Health Counselor 0042732836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

203 S Water St
Suite 206
Henderson, NV 89015-7226
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP5777NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Mar 12, 2025 Accepting new patients
Clearwaters Family Guidance and Wellness Centers LLC Multi-Specialty CurrentSince Apr 16, 2025 Accepting new patients
Clearwaters Family Guidance and Wellness Centers,LLC PastSince Apr 1, 2021 Accepting new patients

Locations

203 S Water St
Ste 206
Henderson, NV 89015

3606 N Rancho Dr
Ste 142
Las Vegas, NV 89130
Phone (702) 278-0984

Organizations & group practices 3

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1508447368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 E SERENE AVE UNIT 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233741",
            "telephone_number": "702-355-9699",
            "fax_number": "702-355-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E WARM SPRINGS RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194593",
            "telephone_number": "702-779-3956",
            "fax_number": "702-779-3957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 N Rancho Dr Ste 142",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891303130",
            "country_code": "US",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "credential": "CPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100521663",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.