Active NPI
Ryan James Christensen, LPC
- Mental Health Counselor
- Orem, UT
National Provider Identifier
1669704102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 353763-6004
- Practice address
- 570 East 1400 South
Orem, UT 84097 - Phone
- (801) 426-6661
- Fax
- (801) 426-6660
- NPI assigned
- Feb 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 353763-6004 | UT | Primary |
Addresses
Primary practice location
570 East 1400 South
Orem, UT 84097
Mailing address
570 East 1400 South
Orem, UT 84097
Phone (801) 426-6661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250514001644 | UT | Practitioner - Mental Health Counselor | 2062930019 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Chrysalis Utah, LLC
Practice addresses (Care Compare)
1507 S 180
Provo, UT 84606-5570
Phone (801) 655-4950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353763-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrysalis Utah, LLC | Mental Health | Current | Accepting new patients |
| Chrysalis Utah, Inc. | Mental Health | Past | Accepting new patients |
Locations
1443 W 800 N
Ste 103
Orem, UT 84057
Phone (801) 604-1455
570 E 1400 S
Orem, UT 84097
Phone (801) 426-6661
1507 S 180 E
Provo, UT 84606
Phone (801) 426-6661
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Orem, UT
- NPI 1891898045
Mental Health, UT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1669704102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 EAST 1400 SOUTH",
"city": "OREM",
"state": "UT",
"postal_code": "84097",
"telephone_number": "801-426-6661",
"fax_number": "801-426-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 EAST 1400 SOUTH",
"city": "OREM",
"state": "UT",
"postal_code": "84097",
"telephone_number": "801-426-6661",
"fax_number": "801-426-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "RYAN",
"middle_name": "JAMES",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "353763-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.