Deirdre Ryan, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401016138 Issued in MI

Practice address

750 Barclay Cir Ste 115
Rochester Hills, MI 48307-4515

Phone

(404) 579-0201

Fax

(404) 579-0201

NPI assigned

Aug 8, 2017

Sex

Female

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

State licenses

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1578088845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MILLER AVE",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072229",
            "telephone_number": "404-579-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BARCLAY CIR STE 115",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074515",
            "telephone_number": "404-579-0201",
            "fax_number": "404-579-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DEIRDRE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tracy Rutherford, LPN
• Elizabeth Anne Ryman, PA-C
• Tyler Edmund Ryman, PA
• Jaime Michelle Saal, M.A.
• Wendy Saal
• Mazen Sabbaq, M.D.

• Mental Health Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.