Individual provider Active NPI

Ryan Curtis Nolley, LPC

  • Mental Health Counselor
  • Staunton, VA
National Provider Identifier
1508630351
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012955 Issued in VA
Practice address
85 Sangers LN
Staunton, VA 24401-6712
Phone
(540) 887-3200
NPI assigned
Nov 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012955 VA Primary

Addresses

Primary practice location

85 Sangers LN
Staunton, VA 24401-6712

Mailing address

85 Sangers LN
Staunton, VA 24401-6712
Phone (540) 887-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240227003625 VA Practitioner - Mental Health Counselor 8123463304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Community Services BoardGroup PAC ID 3678466398, 23 clinicians

Practice addresses (Care Compare)

85 Sangers LN
Staunton, VA 24401-6712
Phone (540) 887-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012955VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Community Services Board CurrentSince Feb 15, 2024 Accepting new patients

Locations

85 Sangers Ln
Ste 1
Staunton, VA 24401

85 Sangers Ln
Staunton, VA 24401
Phone (540) 887-3200

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.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1508630351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SANGERS LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016712",
            "telephone_number": "540-887-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SANGERS LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016712",
            "telephone_number": "540-887-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLEY",
        "first_name": "RYAN",
        "middle_name": "CURTIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.