Individual provider Active NPI

Paul Ryan, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1710698998
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
011199 Issued in GA
Practice address
2470 Windy Hill Rd SE Ste 221
Marietta, GA 30067-8618
Phone
(770) 955-4357
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 011199 GA Primary

Addresses

Primary practice location

2470 Windy Hill Rd SE Ste 221
Marietta, GA 30067-8618

Mailing address

2470 Windy Hill Rd SE Ste 221
Marietta, GA 30067-8618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240104003743 GA Practitioner - Mental Health Counselor 1456702380 Reassigns benefits to 2 organizations
I20240903000408 TX Practitioner - Mental Health Counselor 1456702380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascend Medical Georgia II PCGroup PAC ID 0547657181, 16 clinicians
Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

3560 Lenox Rd NE
Suite 1230
Atlanta, GA 30326-4335
Phone (678) 500-8010

619 Rankin St NE
Atlanta, GA 30308-2920
Phone (888) 250-5708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011199GAMDProfessional Counselor
96119TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Medical Austin Texas, PA CurrentSince Aug 15, 2024 Accepting new patients
Ascend Medical Georgia II PC CurrentSince Jan 1, 2024 Accepting new patients
C and T Counseling LLC CurrentSince Jan 1, 2025 Accepting new patients
Ascend Medical Georgia PC CurrentSince Aug 20, 2025 Accepting new patients

Locations

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

619 Rankin St NE
Atlanta, GA 30308
Phone (404) 874-3102

2470 Windy Hill Rd SE
Ste 221
Marietta, GA 30067
Phone (770) 955-4357

805 Las Cimas Pkwy
Ste 130
Austin, TX 78746
Phone (888) 250-5709

Interoperability endpoints

  • Direct secure messaging: paul.ryan.2@30437.direct.athenahealth.com

Organizations & group practices 4

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1710698998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 221",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE STE 221",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678618",
            "telephone_number": "770-955-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PAUL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "011199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.