Individual provider Active NPI

Ryan Aaron Fields, MA, LPC, ACS

  • Professional Counselor
  • Freehold, NJ
National Provider Identifier
1669986220
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00305800 Issued in NJ
Practice address
800 W Main St Ste 205
Freehold, NJ 07728-2555
Phone
(732) 204-6122
NPI assigned
Nov 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00305800 NJ Primary

Addresses

Primary practice location

800 W Main St Ste 205
Freehold, NJ 07728-2555

Mailing address

800 W Main St Ste 205
Freehold, NJ 07728-2555
Phone (732) 204-6122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220002925 NJ Practitioner - Mental Health Counselor 5092165860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Clarity Counseling CurrentSince Jan 1, 2024 Accepting new patients
Inner Clarity LLC CurrentSince Jan 1, 2024 Accepting new patients
Ryan Fields Total Health and Wellness LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

175 W Cohawkin Rd
Ste C
Clarksboro, NJ 08020

800 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 204-6122

22 Village Ct
Hazlet, NJ 07730
Phone (732) 639-0232

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1669986220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 205",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282555",
            "telephone_number": "732-204-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 205",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282555",
            "telephone_number": "732-204-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "RYAN",
        "middle_name": "AARON",
        "credential": "MA, LPC, ACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00305800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.