Carmen Ryan, LPC, MS, MBA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C10608 Issued in OR

Practice address

28925 SW Boberg Rd
Wilsonville, OR 97070-8218

Phone

(503) 939-9447

NPI assigned

Oct 2, 2023

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

Credentials

Master of Business Administration, Master of Science

State licenses

Practice roles

Locations

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.

• Imaginative Healing Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilsonville, OR
  • NPI 1609731835
  NPD Authorized official
• A New Life Christian Counseling & Consultation

  • Mental Health Counselor
  • Wilsonville, OR
  • NPI 1811773989
  NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1609656149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29385 SW TETON WAY",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708501",
            "telephone_number": "503-939-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28925 SW BOBERG RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708218",
            "telephone_number": "503-939-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CARMEN",
        "credential": "LPC, MS, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C10608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Marie Rossmiller
• Cheri Marie Roulet, LMT
• Michal Rubin
• Morgan Rumble, OTR
• Ryan E. McCormic DC LLC
• Lola Aminova Ryan
• Keili Cheyenne Saatkamp
• Ayako Sakata
• Lee Samatowic, N.D.
• Alondra Sanchez

• Professional Counselor in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.