James M Ryan, LCPC LCADC CRC CDMS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA372 Issued in MD

Practice address

19630 Club House Rd Ste 715
Montgomery Village, MD 20886

Phone

(301) 258-7771

Fax

(301) 258-9078

NPI assigned

Apr 24, 2008

Last updated

Aug 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ryan Rehabilitation LLC

  • Addiction (Substance Use Disorder) Counselor
  • College Park, MD
  • NPI 1104391317
  NPD (past)
• Ryan Rehabilitation LLC

  • Addiction (Substance Use Disorder) Counselor
  • Suitland, MD
  • NPI 1295200400
  NPD (past)
• Ryan Rehabilitation LLC

  • Addiction (Substance Use Disorder) Counselor
  • Suitland, MD
  • NPI 1316427610
  NPD (past)
• Ryan Rehabilitation LLC

  • Addiction (Substance Use Disorder) Counselor
  • College Park, MD
  • NPI 1326528621
  NPD (past)
• Ryan Rehabilitation LLC

  dba Ryan Rehabilitation

  • Addiction (Substance Use Disorder) Counselor
  • Kensington, MD
  • NPI 1487129698
  NPD (past)
• Ryan Rehabilitation LLC

  • Addiction (Substance Use Disorder) Counselor
  • Kensington, MD
  • NPI 1689154981
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1558536102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19630 CLUB HOUSE RD STE 715",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863040",
            "telephone_number": "301-258-7771",
            "fax_number": "301-258-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19630 CLUB HOUSE RD STE 715",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "20886",
            "telephone_number": "301-258-7771",
            "fax_number": "301-258-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "LCPC LCADC CRC CDMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1361",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rorie
• Joseph Mark Rosenwald, DDS
• Marc Neil Rubinstein, D.D.S.
• Ryan Rehabilitation LLC (Ryan Rehabilitation)
• Ryan Rehabilitation LLC
• Sylvie Neh Sab Ngwota, GNA
• Allison Virginia Sachs Smith
• Alexandra Salcedo
• Lily Salcedo
• Heather Marie Salvatore, M.S., BCBA

• Addiction (Substance Use Disorder) Counselor in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.