Individual provider Active NPI

Rebecca J Ryan, LPC, LMHC, LIMHP

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1740687276
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1350 Issued in NE
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

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE2 enrollments
Eligible to order & refer
  • Part B services: No
  • 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
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

LicenseStateTypeSpecialty
4416NEMDMental Health Counselor
P-1121NEMDMental Health Counselor
129714IAMDProfessional Counselor
1350NEMDProfessional 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

Verify at the official NPI Registry.