Shawn Rybacki, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC017081 Issued in PA

Practice address

525 S 4TH St Ste 240E
Philadelphia, PA 19147-1573

Phone

(215) 995-5058

NPI assigned

Feb 6, 2023

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jun 16, 2026 through Jun 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1568168151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST STE 240E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471573",
            "telephone_number": "267-474-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST STE 240E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471573",
            "telephone_number": "215-995-5058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 28th St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031002",
            "country_code": "US",
            "telephone_number": "720-810-2355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYBACKI",
        "first_name": "SHAWN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0021235",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole R. Ryan, MD
• Patricia Ryan, MPT
• Rita Ryan, PHD
• Shannon Virginia Ryan, PHD
• Maria Rybacka, MD
• Yelena Rybak, CRNP
• Brendan Leonard Rybaltowski
• Megan Rybarczyk, MD, MPH
• Rybicki Family Practice, PC
• Joseph M Rybicki, DO

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.