Individual provider Active NPI

Ryan Patrick Smith, LIMHP, CPC, LADC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1801002514
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1030 Issued in NE
Practice address
3000 2ND Ave
Suite 204
Kearney, NE 68847-3507
Phone
(308) 455-3435
Fax
(308) 455-3437
NPI assigned
May 16, 2007
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1030 NE Primary

Addresses

Primary practice location

3000 2ND Ave
Suite 204
Kearney, NE 68847-3507

Mailing address

3000 2ND Ave
Suite 204
Kearney, NE 68847-3507
Phone (308) 455-3435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240724001801 NE Practitioner - Mental Health Counselor 1254640972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 2ND Ave
Kearney, NE 68847-3507

3000 2ND Ave
Suite 204
Kearney, NE 68847-3571
Phone (308) 455-3435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1048NEMDMental Health Counselor
1030NEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Smith Counseling Services, LLC Mental Health CurrentSince Sep 21, 2007 Accepting new patients

Locations

3000 2nd Ave
Ste 204
Kearney, NE 68847
Phone (308) 455-3435

Organizations & group practices 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1801002514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 2ND AVE",
            "address_2": "SUITE 204",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473507",
            "telephone_number": "308-455-3435",
            "fax_number": "308-455-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 2ND AVE",
            "address_2": "SUITE 204",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473507",
            "telephone_number": "308-455-3435",
            "fax_number": "308-455-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "credential": "LIMHP, CPC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.