Ryan M Wallace, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1800879 Issued in OH

Practice address

734 Main St
Wintersville, OH 43953-4800

Phone

(724) 396-1510

Fax

(724) 972-4627

NPI assigned

Jan 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Richard Hoffman

  dba Christian Counseling Associates of Eastern Ohio

  • Clinical Social Worker
  • Steubenville, OH
  • NPI 1922582378
  NPD (past)
• The Village Network

  • Case Management Agency
  • Uhrichsville, OH
  • NPI 1558799007
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1760980577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534800",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Uhrichsville",
            "state": "OH",
            "postal_code": "446831818",
            "country_code": "US",
            "telephone_number": "740-922-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 School St",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439527063",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67885 Friends Church Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439509782",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1800879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0291632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Marie Van Fossen, NP
• George Vanweelden, DO
• Kimberlee J Vich, M.A.,L.P.C.C.
• Melissa Louise Vostatek, PHARM D
• Teresa Mae Wade-Coursin
• Christina Marie Wanat
• Alexis R. Watkins
• Weirton Medical Center Inc (Weirton Medical Center Home Health)
• Katherine Grace Williams
• Brian Sean Wilson, DC

• Mental Health Counselor in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.