Active NPI
Patricia Eileen Ryan, LCSW
- Mental Health Counselor
- Whitefish, MT
National Provider Identifier
1821180415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW-344
- Practice address
- 120 Taylor Rd
Whitefish, MT 59937-8419 - Phone
- (406) 212-7016
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW-344 | MT | Primary |
| Massage Therapist | 225700000X | LMT 627 | MT |
Addresses
Primary practice location
120 Taylor Rd
Whitefish, MT 59937-8419
Mailing address
PO Box 815
Whitefish, MT 59937-0815
Phone (406) 862-2208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000070851 | Other | MT | BLUE CROSS/ BLUE SHIELD |
| 0000502749 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-344 | MT | MD | Mental Health Counselor |
| LMT 627 | MT | MD | Massage Therapist |
| 344 | MT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Neuropathy Centers, LLC | Past | Accepting new patients | |
| United Immunology and Allergy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kalispell, MT
- NPI 1740815299
-
- Family Medicine Physician
- Polson, MT
- NPI 1942820295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1821180415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 815",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599370815",
"telephone_number": "406-862-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 TAYLOR RD",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599378419",
"telephone_number": "406-212-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "PATRICIA",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "LCSW-344",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "LMT 627",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "0000070851",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000502749",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.