Individual provider Active NPI

Ryan Anderson, LPC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1558042911
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012711 Issued in VA
Practice address
3328 Meadowmont LN
Richmond, VA 23223-2149
Phone
(804) 714-7876
NPI assigned
Jul 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 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 0701012711 VA Primary

Addresses

Primary practice location

3328 Meadowmont LN
Richmond, VA 23223-2149

Mailing address

3328 Meadowmont LN
Richmond, VA 23223-2149
Phone (804) 714-7876

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
I20251105003006 VA Practitioner - Mental Health Counselor 9931699246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 W Williamsburg Rd
Sandston, VA 23150-2010

3328 Meadowmont LN
Richmond, VA 23223-2149

PO Box
Suite 980503
Richmond, VA 23298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012711VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Civitas Health Services, Inc. CurrentSince Sep 1, 2025 Accepting new patients
MCV Associated Physicians CurrentSince Nov 20, 2025 Accepting new patients
Candid Counseling, LLC Past Accepting new patients

Locations

5663 S Laburnum Ave
Richmond, VA 23231
Phone (804) 737-3917

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1308 Sherwood Ave
Richmond, VA 23220
Phone (804) 828-3129

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.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1558042911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 MEADOWMONT LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232149",
            "telephone_number": "804-714-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 MEADOWMONT LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232149",
            "telephone_number": "804-714-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.