Active NPI
Ryberg Counseling, LLC
- Mental Health Counselor
- Mascoutah, IL
National Provider Identifier
1821833062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RYBERG COUNSELING, LLC
- Practice address
- 528 Streamstone LN
Mascoutah, IL 62258-1538 - Phone
- (618) 477-1331
- Fax
- (618) 589-8851
- NPI assigned
- Jun 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carrie L Ryberg, LCPC
- Title
- Owner
- Phone
- (618) 589-8850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
528 Streamstone LN
Mascoutah, IL 62258-1538
Mailing address
528 Streamstone LN
Mascoutah, IL 62258-1538
Phone (618) 477-1331
Other names 1
- Ryberg Counseling, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Mascoutah, IL
- NPI 1720268782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1821833062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 STREAMSTONE LN",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622581538",
"telephone_number": "618-477-1331",
"fax_number": "618-589-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 STREAMSTONE LN",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622581538",
"telephone_number": "618-477-1331",
"fax_number": "618-589-8851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYBERG COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-28",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "RYBERG",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-589-8850",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ryberg Counseling, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mascoutah, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.