Active NPI
Rebecca J Ryan, LPC, LMHC, LIMHP
- Professional Counselor
- Dallas, TX
National Provider Identifier
1740687276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1350
- Practice address
- 4144 N Central Expy Ste 600-33
Dallas, TX 75204-3140 - Phone
- (214) 498-3210
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P-1121 | NE | |
| Mental Health Counselor | 101YM0800X | 4416 | NE | |
| Professional Counselor | 101YP2500X | 129714 | IA | |
| Professional Counselor | 101YP2500X | 76037 | TX | |
| Professional Counselor | 101YP2500X | 1350 | NE | Primary |
Addresses
Primary practice location
4144 N Central Expy Ste 600-33
Dallas, TX 75204-3140
Mailing address
PO Box 472
Boys Town, NE 68010-0472
Phone (214) 498-3210
Other practice location 1
PO Box 472
Boys Town, NE 68010-0472
Phone (214) 498-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NE
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250415000673 | TX | Practitioner - Mental Health Counselor | 5698290419 | Practice locations: Austin, TX |
| I20250416000417 | NE | Practitioner - Mental Health Counselor | 5698290419 | Practice locations: Omaha, NE |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4416 | NE | MD | Mental Health Counselor |
| P-1121 | NE | MD | Mental Health Counselor |
| 129714 | IA | MD | Professional Counselor |
| 1350 | NE | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1740687276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 472",
"city": "BOYS TOWN",
"state": "NE",
"postal_code": "680100472",
"telephone_number": "214-498-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 N CENTRAL EXPY STE 600-33",
"city": "DALLAS",
"state": "TX",
"postal_code": "752043140",
"telephone_number": "214-498-3210"
}
],
"practiceLocations": [
{
"address_1": "PO Box 472",
"address_purpose": "LOCATION",
"city": "Boys Town",
"state": "NE",
"postal_code": "680100472",
"country_code": "US",
"telephone_number": "214-498-3210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYAN",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "LPC, LMHC, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "P-1121",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4416",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IA",
"license": "129714",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76037",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "1350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.