Amy Ryan Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMY RYAN COUNSELING LLC

Practice address

13 Main St # 1
Bradley Beach, NJ 07720-1027

Phone

(732) 795-0918

NPI assigned

Nov 6, 2023

Organization subpart

No

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

Authorized official

Name

Amy RyanNPI 1255700274

Title

Owner

Phone

(732) 795-0918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Sue Ryan, LCSW

  • Clinical Social Worker
  • Bradley Beach, NJ
  • NPI 1255700274
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1689447039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 POLO CLUB DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MAIN ST # 1",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201027",
            "telephone_number": "732-795-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY RYAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-795-0918"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Baadarani, MS, LPC
• Brittany Ann Barnstead, LPC, ATR
• John R Bilas, D.C.
• Bradley Beach Board of Education
• Bradley Beach Pahramcy Inc.

• Clinical Social Worker in Bradley Beach, NJ
• Providers in Bradley Beach, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.