Active NPI
Michael Ryan, NCC, LGPC
- Mental Health Counselor
- Rockville, MD
National Provider Identifier
1750990594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP10667
- Practice address
- 15309 Diamond Cove Ter Apt B
Rockville, MD 20850-4687 - Phone
- (301) 801-6098
- NPI assigned
- Jul 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP10667 | MD | Primary |
Addresses
Primary practice location
15309 Diamond Cove Ter Apt B
Rockville, MD 20850-4687
Mailing address
15309 Diamond Cove Ter Apt B
Rockville, MD 20850-4687
Phone (301) 801-6098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625000135 | DC | Practitioner - Mental Health Counselor | 0941743447 | Practice locations: Rockville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15309 Diamond Cove Ter
Apt B
Rockville, MD 20850-4687
Phone (240) 293-0191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP10667 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1750990594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15309 DIAMOND COVE TER APT B",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504687",
"telephone_number": "301-801-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15309 DIAMOND COVE TER APT B",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504687",
"telephone_number": "301-801-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MICHAEL",
"credential": "NCC, LGPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-28",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP10667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.