Carrie L Ryberg, MA, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008471 Issued in IL

Practice address

528 Streamstone LN
Mascoutah, IL 62258-1538

Phone

(618) 477-1331

Fax

(618) 566-0030

NPI assigned

Nov 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Carrie L O'Keefe Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IL, Professional

  Medicare reassignment Care Compare group NPD
• Ryberg Counseling, LLC

  • Mental Health Counselor
  • Mascoutah, IL
  • NPI 1821833062
  NPD Authorized official

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1720268782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 STREAMSTONE LN",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581538",
            "telephone_number": "618-477-1331",
            "fax_number": "618-566-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 STREAMSTONE LN",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622581538",
            "telephone_number": "618-477-1331",
            "fax_number": "618-566-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBERG",
        "first_name": "CARRIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00054786",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBERG",
            "identifier": "180.008471",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720268782",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "O'KEEFE",
            "middle_name": "L",
            "credential": "MA, LCPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul J Reger, MD
• Right Time Counseling, PLLC
• Kari Ross, LPC, NCC
• Rural Family Medicine Associates, LTD
• Ryberg Counseling, LLC
• Jeannette M Saak, MS ED, LPTA
• Samantha Nicole Sandy-Sinclair, BCBA
• Jacqueline Schaller
• Stephanie Schnitker, DC
• Thomas Anthony Scolarici III, BCBA

• Professional Counselor in Mascoutah, IL
• Providers in Mascoutah, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.

Verify at the official NPI Registry.