Jeri Ryan, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7694 Issued in MA

Practice address

270 Littleton Road
Suite 29
Westford, MA 01886-3515

Phone

(978) 729-9502

Fax

(978) 392-8899

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CMK Enterprises Inc

  • Family Medicine Physician
  • Westford, MA
  • NPI 1295133239
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1760600050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BROADWAY ST",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018862105",
            "telephone_number": "978-729-9502",
            "fax_number": "978-392-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LITTLETON ROAD",
            "address_2": "SUITE 29",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863515",
            "telephone_number": "978-729-9502",
            "fax_number": "978-392-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JERI",
        "name_prefix": "Dr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ross, DMD
• Joel Ross, DMD
• Lindsay Ann Roy, NP
• Paul Jacob Royte
• Lynn Early Rushton, N.P.
• Thomas Joseph Ryan, OTR
• Cecilia Ryll, APRN
• Sally Jane Sacks, M.ED LMHC
• Safe Place Mental Wellness Services LLC
• Diane S. Saffer, LICSW

• Mental Health Counselor in Westford, MA
• Providers in Westford, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.