Organization Active NPI

Integrated Counseling Centers, Inc.

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1649254954
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105196 Issued in MA
Legal business name
INTEGRATED COUNSELING CENTERS, INC.
Practice address
64 Industrial Park Rd
Plymouth, MA 02360-4829
Phone
(508) 830-9562
Fax
(508) 830-6735
NPI assigned
Nov 30, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Elizabeth M Ryan, ED.D.NPI 1306885652
Title
President
Phone
(508) 830-9562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4342 MA
Clinical Social Worker 1041C0700X 105196 MA Primary

Addresses

Primary practice location

64 Industrial Park Rd
Plymouth, MA 02360-4829

Mailing address

64 Industrial Park Rd
Plymouth, MA 02360-4829
Phone (508) 830-9562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726000629 MA Part B Supplier - Clinic/Group Practice 3476580986 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MA

National Provider Directory

National Provider Directory

Locations

385 Court St
Ste 103
Plymouth, MA 02360
Phone (508) 830-9562

64 Industrial Park Rd
Ste 4
Plymouth, MA 02360
Phone (508) 830-1630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649254954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604829",
            "telephone_number": "508-830-9562",
            "fax_number": "508-830-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604829",
            "telephone_number": "508-830-9562",
            "fax_number": "508-830-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COUNSELING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-830-9562",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "4342",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.