Ryan Lorenzo, CDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60932825 Issued in WA

Practice address

404 W Main St
Kelso, WA 98626-1118

Phone

(360) 423-2806

NPI assigned

Feb 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Awakenings, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Kelso, WA
  • NPI 1275245722
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1881151850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261118",
            "telephone_number": "360-423-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261118",
            "telephone_number": "360-423-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "RYAN",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60932825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "CO60932825",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Loeber
• Amy Lomax
• Kathleen Frances Loney, MS MFT
• Longview Radiologists, P.S. Inc.
• Melody Kay Lorenzo
• Love Overwhelming
• Olivia E Lovely, LMHC
• Audrie Beth Luczek, M.S. CCC-SLP
• Cathy Ludahl, CDP
• Luxottica Retail North America Inc

• Addiction (Substance Use Disorder) Counselor in Kelso, WA
• Providers in Kelso, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.