Active NPI
Jennifer Ryan, M.ED., LPC
- Mental Health Counselor
- Allen, TX
National Provider Identifier
1518296326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19003
- Practice address
- 1506 N Greenville Ave Ste 250
Allen, TX 75002-8692 - Phone
- (214) 547-1318
- Fax
- (214) 547-1318
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19003 | TX | Primary |
Addresses
Primary practice location
1506 N Greenville Ave Ste 250
Allen, TX 75002-8692
Mailing address
1506 N Greenville Ave Ste 250
Allen, TX 75002-8692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760620728 | Other | TX | NPPES FOR I CHOOSE CHANGE PLLC |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19003 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1518296326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 N GREENVILLE AVE STE 250",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 N GREENVILLE AVE STE 250",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028692",
"telephone_number": "214-547-1318",
"fax_number": "214-547-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JENNIFER",
"credential": "M.ED., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "19003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES FOR I CHOOSE CHANGE PLLC",
"identifier": "1760620728",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.