Ryan Bayless

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CIT-5764

Practice address

3605 Youree Dr
Shreveport, LA 71105-2121

Phone

(318) 615-9006

NPI assigned

Apr 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Magnolia Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
  • NPI 1861088999
  NPD
• Magnolia Recovery, LLC

  • Professional Counselor
  • Shreveport, LA
  • NPI 1952093718
  NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1528813169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052121",
            "telephone_number": "318-615-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLESS",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "CIT-5764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Baxter
• Charles Edward Baxter, M.D.
• Laura Lane Baxter, LPC-S, LMFT, NCC
• Sheila Giles Baxter, LPC LMFT
• Robert Baye, PA-C
• Bayou Care Services LLC
• Bayou Imaging & Interventions, LLC
• Bayou Sleep MD LLC
• Bayou State Therapy
• Be You Outreach Center

• Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.