Active NPI
Shannon Ryan, LMSW
- Mental Health Counselor
- Berlin, CT
National Provider Identifier
1891520854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9860
- Practice address
- 314 New Britain Rd Ste C
Berlin, CT 06037-5306 - Phone
- (000) 000-0000
- NPI assigned
- Sep 7, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9860 | CT | Primary |
Addresses
Primary practice location
314 New Britain Rd Ste C
Berlin, CT 06037-5306
Mailing address
33 Fairfield PL
Beacon Falls, CT 06403-1436
Phone (203) 523-9263
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 |
|---|---|---|---|
| 9860 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1891520854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 FAIRFIELD PL",
"city": "BEACON FALLS",
"state": "CT",
"postal_code": "064031436",
"telephone_number": "203-523-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 NEW BRITAIN RD STE C",
"city": "BERLIN",
"state": "CT",
"postal_code": "060375306",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SHANNON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-09-07",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "9860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.