Active NPI
Ryan Ojeda, MA, LAC
- Professional Counselor
- Sparta, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC01103000
- Practice address
- 9 Fishers LN
Sparta, NJ 07871-2440 - Phone
- (973) 671-8786
- NPI assigned
- Mar 31, 2023
- Last updated
- Jan 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00630300 | NJ | |
| Professional Counselor | 101YP2500X | 37PC01103000 | NJ | Primary |
Addresses
Primary practice location
9 Fishers LN
Sparta, NJ 07871-2440
Mailing address
9 Fishers LN
Sparta, NJ 07871-2440
Phone (973) 671-8786
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Moran St
Newton, NJ 07860-1832
Phone (973) 726-4533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00630300 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Counseling Associates, LLC | Mental Health | Current | Accepting new patients |
Locations
30 Moran St
Newton, NJ 07860
Phone (973) 579-3101
350 Sparta Ave
Ste C2A
Sparta, NJ 07871
Phone (973) 726-4533
9 Fishers Ln
Ste E
Sparta, NJ 07871
Phone (973) 600-3558
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1699470559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FISHERS LN",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712440",
"telephone_number": "973-671-8786",
"fax_number": "973-726-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FISHERS LN",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712440",
"telephone_number": "973-671-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJEDA",
"first_name": "RYAN",
"credential": "MA, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-31",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00630300",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC01103000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.