Ryan Patrick Bagnal, M.A.
Individual provider Active NPI Professional Counselor · Sumter, SC
NPI 1821977406 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1821977406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 10542 (SC)
- Practice address
- 1229 Alice Dr
Sumter, SC 29150-1970 - Phone
- (803) 905-5020
- NPI assigned
- Aug 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10542 | SC | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10542 | SC | Yes |
Addresses
Primary practice location
1229 Alice Dr
Sumter, SC 29150-1970
Mailing address
1229 Alice Dr
Sumter, SC 29150-1970
Phone (803) 905-5020
Other providers in Sumter, SC
- Diane Ngamia Awa
- Tyric Awosanya
- Rebecca Anne Axson
- Ryan Ayers
- Sherri J Babb
- Mary Baird
- May L. Baird
- John Kenneth Baker
- Tedisha R. Baker
- Valecia Ann Baldwin-Johnson
All providers in Sumter, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.