Lark Ryan, LCSW, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

L2683 Issued in OR

Legal business name

LARK RYAN, LCSW, LLC

Practice address

1525 NE Weidler St # 101
Portland, OR 97232-1410

Phone

(503) 994-9141

Fax

(971) 232-3042

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Lark Webster RyanNPI 1942366844

Title

Owner

Phone

(503) 287-4975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lark Webster Ryan, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1942366844
  Medicare reassignment NPD Authorized official
• Ann Heyen, PH.D.

  • Psychologist
  • Tigard, OR
  • NPI 1184713901
  NPD (past)
• Mark H Kohen, PSYD

  • Clinical Psychologist
  • Portland, OR
  • NPI 1215093117
  NPD (past)
• Susan Beth Schradle, PHD

  • Psychologist
  • Portland, OR
  • NPI 1184770513
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1538599055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 NE WEIDLER ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321410",
            "telephone_number": "503-994-9141",
            "fax_number": "971-232-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 NE WEIDLER ST # 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321410",
            "telephone_number": "503-994-9141",
            "fax_number": "971-232-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARK RYAN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "LARK",
        "authorized_official_middle_name": "WEBSTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-287-4975"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "L2683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lareaux Beauty & Wellness
• Michael Henry Lariccia, CADC I
• Maria Abigail Larios Velasquez, PA-C
• Will Larison, M.D.
• Meghan L Larivee, N.D.
• Maryam Larki, D.C.
• Amber Larkin
• Christopher J Larkin
• Evan J Larkin, DC
• Linda Larkin, MA, MBA, LPC, ATR

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.