Carol Ryan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

87001596A Issued in IN

Practice address

309 1/2 Hackett Rd
Goshen, IN 46528-2701

Phone

(269) 447-1009

Fax

(269) 743-0118

NPI assigned

Jan 28, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Amberly Nichols, LCSW, LLC

  • Clinical Social Worker
  • Elkhart, IN
  • NPI 1649863754
  NPD
• The Samaritan Center

  • Community/Behavioral Health Agency
  • Elkhart, IN
  • NPI 1538236732
  NPD (past)

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1740727759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56878 INWOOD CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165815",
            "telephone_number": "269-447-1009",
            "fax_number": "269-743-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 1/2 HACKETT RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465282701",
            "telephone_number": "269-447-1009",
            "fax_number": "269-743-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015237",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001596A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Rubio Jr.
• Alyssa Marie Ruisard
• Lora Elizabeth Rusel, LCSW
• Carl N Rutt, M.D.
• Consuelo Ruvalcaba Sandoval
• Ryan'S Place Inc
• Sacred Journey Midwifery LLC
• Adrienne Sailor, BS
• Martin L Saltzman, M.D.
• Destiny Salvador

• Addiction (Substance Use Disorder) Counselor in Goshen, IN
• Providers in Goshen, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.