Individual provider Active NPI

Ryan Ojeda, MA, LAC

  • Professional Counselor
  • Sparta, NJ
National Provider Identifier
1699470559
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01103000 Issued in NJ
Practice address
9 Fishers LN
Sparta, NJ 07871-2440
Phone
(973) 671-8786
NPI assigned
Mar 31, 2023
Last updated
Jan 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000697 NJ Practitioner - Mental Health Counselor 2961924758 Reassigns benefits to 1 organization

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
Lakeside Counseling Associates, LLCGroup PAC ID 0840568754, 26 clinicians

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

LicenseStateTypeSpecialty
37AC00630300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Associates, LLC Mental Health CurrentSince Mar 1, 2025 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

Verify at the official NPI Registry.