Alexandra Ryan, LACMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

92370 Issued in TX

Practice address

158 Bittersweet TRL
Weatherford, TX 76088-7314

Phone

(302) 584-7516

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sasha Ryan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 12, 2024 through Nov 12, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1659707131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 BITTERSWEET TRL",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887314",
            "telephone_number": "302-584-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 BITTERSWEET TRL",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887314",
            "telephone_number": "302-584-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19413 Jingle Shell Way Unit 3B",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199586307",
            "country_code": "US",
            "telephone_number": "302-574-6985",
            "fax_number": "302-467-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALEXANDRA",
        "credential": "LACMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011352",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "RYAN",
            "credential": "LACMH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Desiree Ruch
• Suzanne Bridges Rudolph, LPC-ASSOCIATE
• Rupa Pachigolla MD PSC
• Michael Russell
• Jayson Rutherford, PHARMD
• Catherine Saathoff
• Malinda Sachse
• Lynnette Salas, COTA
• Juliana Dawn Salibsury, PTA
• Sehar Salman

• Professional Counselor in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.