Individual provider Active NPI

John O'Ryan, LMHC

  • Professional Counselor
  • Kirkwood, NY
National Provider Identifier
1770049579
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
009324 Issued in NY
Practice address
1355 US-11
Kirkwood, NY 13795
Phone
(607) 203-1593
NPI assigned
Feb 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 009324 NY Primary

Addresses

Primary practice location

1355 US-11
Kirkwood, NY 13795

Mailing address

2007 Kim Dr
Endicott, NY 13760-1416
Phone (516) 428-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210002673 NY Practitioner - Mental Health Counselor 8921592643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksons Health Family Health NPGroup PAC ID 7618362682, 3 clinicians

Practice addresses (Care Compare)

1815 S Clinton Ave
Suite 610
Rochester, NY 14618-5723
Phone (585) 340-6940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Firm Foundation Counseling LLC CurrentSince Aug 4, 2024 Accepting new patients
Jacksons Health Family Health NP CurrentSince Jan 1, 2026 Accepting new patients
K. Hope Mental Health Counseling Services P.L.L.C. CurrentSince Jul 16, 2023 Accepting new patients

Locations

1815 S Clinton Ave
Ste 610
Rochester, NY 14618
Phone (585) 244-3430

1655 Elmwood Ave
Ste 125
Rochester, NY 14620
Phone (585) 340-6940

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1770049579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 KIM DR",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137601416",
            "telephone_number": "516-428-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 US-11",
            "city": "KIRKWOOD",
            "state": "NY",
            "postal_code": "13795",
            "telephone_number": "607-203-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'RYAN",
        "first_name": "JOHN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-16",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "009324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, NY

Sources for this page

Verify at the official NPI Registry.