Individual provider Active NPI

Ryan Erickson, LMHC

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1710504972
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61653637 Issued in WA
Practice address
4403 Clarendon LN SE
Lacey, WA 98513-2237
Phone
(360) 209-2122
NPI assigned
Jul 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61653637 WA Primary

Addresses

Primary practice location

4403 Clarendon LN SE
Lacey, WA 98513-2237

Mailing address

4403 Clarendon LN SE
Lacey, WA 98513-2237
Phone (360) 209-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251121004567 WA Practitioner - Mental Health Counselor 4789176298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8284 28TH CT NE
Suite a
Lacey, WA 98516-7161

8284 28TH CT NE a
Lacey, WA 98516-7161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61653637WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Therapy Group PLLC Mental Health CurrentSince Nov 10, 2025 Accepting new patients
Seeking Authenticity Counseling Mental Health CurrentSince Nov 24, 2025 Accepting new patients

Locations

8282 28th Ct NE
Ste A
Lacey, WA 98516
Phone (360) 515-5783

8284 28th Ct NE
Ste A
Lacey, WA 98516
Phone (360) 742-0418

Organizations & group practices 2

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1710504972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 CLARENDON LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132237",
            "telephone_number": "360-209-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 CLARENDON LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132237",
            "telephone_number": "360-209-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "RYAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61653637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.