Active NPI
Ryan Lee Stanley, CPC
- Professional Counselor
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP5777
- 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
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 |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100521663 | Medicaid | NV |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP5777 | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
| Clearwaters Family Guidance and Wellness Centers LLC | Multi-Specialty | Current | Accepting new patients |
| Clearwaters Family Guidance and Wellness Centers,LLC | Past | 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.
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1730489154
Multi-Specialty
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1326482514
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.