Active NPI
Ryan Maher, LMHC
- Counselor
- Mukilteo, WA
National Provider Identifier
1811391808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 61089107
- Practice address
- 8490 Mukilteo Speedway Ste 105
Mukilteo, WA 98275-3208 - Phone
- (360) 670-0416
- NPI assigned
- Oct 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180009794 | IL | |
| Counselor | 101Y00000X | 61089107 | WA | Primary |
Addresses
Primary practice location
8490 Mukilteo Speedway Ste 105
Mukilteo, WA 98275-3208
Mailing address
8490 Mukilteo Speedway Ste 105
Mukilteo, WA 98275-3208
Phone (360) 670-0416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 23, 2024 through Oct 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180009794 | IL | MD | Counselor |
| 61089107 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1811391808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8490 MUKILTEO SPEEDWAY STE 105",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982753208",
"telephone_number": "360-670-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8490 MUKILTEO SPEEDWAY STE 105",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982753208",
"telephone_number": "360-670-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "RYAN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-20",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180009794",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "61089107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.