Ryan Van Pelt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.1300193 Issued in OH

Practice address

1375 US Highway 42 SE Ste C
London, OH 43140-9548

Phone

(740) 845-8652

Fax

(614) 503-0899

NPI assigned

Feb 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH, Professional

  Medicare reassignment NPD
• Fit for Life Counseling LLC

  • Clinic/Center
  • London, OH
  • NPI 1811495849
  NPD Authorized official

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1891235784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202690",
            "telephone_number": "614-459-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 US HIGHWAY 42 SE STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409548",
            "telephone_number": "740-845-8652",
            "fax_number": "614-503-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "RYAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1300193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ainsley Tucker, CT
• Lauren Nicole Tucker, PA-C
• Morgan Turnbull, OTD, OTR/L
• Mary Elizabeth Tussing
• Mark Ira Van Matre
• Vaughn Charles Darding
• Voca Corp
• Julie Ann Wagner, OTA-L
• Rylie Wahl
• Wal-Mart Stores East LP

• Professional Counselor in London, OH
• Providers in London, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.