Active NPI
Ryan T. Day, LPC, NCC
- Professional Counselor
- Smyrna, GA
National Provider Identifier
1669715827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006705
- Practice address
- 3269 Old Concord Rd SE
Smyrna, GA 30082-2642 - Phone
- (678) 800-1329
- NPI assigned
- Apr 5, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006705 | GA | Primary |
Addresses
Primary practice location
3269 Old Concord Rd SE
Smyrna, GA 30082-2642
Mailing address
PO Box 723334
Atlanta, GA 31139-0334
Phone (404) 957-0742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006705 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healing Center for Change | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Smyrna, GA
- NPI 1093136491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1669715827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 723334",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311390334",
"telephone_number": "404-957-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3269 OLD CONCORD RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822642",
"telephone_number": "678-800-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "RYAN",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-05",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.