Individual provider Active NPI

Ryan Grogan Andrews, LPC

  • Professional Counselor
  • Dayton, OH
National Provider Identifier
1720713670
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2204336 Issued in OH
Practice address
11 W Monument Ave Ste 100
Dayton, OH 45402-1293
Phone
(937) 319-4448
NPI assigned
Jul 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 C.2204336 OH Primary

Addresses

Primary practice location

11 W Monument Ave Ste 100
Dayton, OH 45402-1293

Mailing address

11 W Monument Ave Ste 100
Dayton, OH 45402-1293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251208000291 OH Practitioner - Mental Health Counselor 6406349414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 W Monument Ave
Suite 100
Dayton, OH 45402-1293

3460 S Dixie Dr
Dayton, OH 45439-2304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2204336OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Darcie R Clark LPCC LLC Professional CurrentSince Oct 23, 2025 Accepting new patients

Locations

11 W Monument Ave
Ste 100
Dayton, OH 45402
Phone (937) 319-4448

761 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 319-4448

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1720713670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W MONUMENT AVE STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W MONUMENT AVE STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021293",
            "telephone_number": "937-319-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "RYAN",
        "middle_name": "GROGAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.