Individual provider Active NPI

Jessica Ryder, MS

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1699389007
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224387 Issued in MI
Practice address
3121 Charing Cross Rd
Ann Arbor, MI 48108-1905
Phone
(734) 218-1519
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 6401224387 MI Primary

Addresses

Primary practice location

3121 Charing Cross Rd
Ann Arbor, MI 48108-1905

Mailing address

3121 Charing Cross Rd
Ann Arbor, MI 48108-1905
Phone (734) 218-1519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20251107004588 MI Practitioner - Mental Health Counselor 6608366513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3121 Charing Cross Rd
Ann Arbor, MI 48108-1905

41000 Woodward Ave
Suite 350
Bloomfield Hills, MI 48304-5092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401224387MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sollars and Associates CurrentSince Oct 4, 2025 Accepting new patients

Locations

3830 Packard St
Ste 280
Ann Arbor, MI 48108
Phone (734) 224-2454

725 S Adams Rd
Ste 235
Birmingham, MI 48009
Phone (248) 593-9276

1295 S Linden Rd
Flint, MI 48532

496 W Ann Arbor Trl
Ste 202
Plymouth, MI 48170
Phone (248) 274-6016

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1699389007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 CHARING CROSS RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081905",
            "telephone_number": "734-218-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 CHARING CROSS RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081905",
            "telephone_number": "734-218-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "JESSICA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.