Active NPI
Ryan A Smith, MA, LPC
- Professional Counselor
- Greeley, CO
National Provider Identifier
1912374844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016926
- Practice address
- 4689 W 20TH St Unit E
Greeley, CO 80634-3218 - Phone
- (970) 381-2164
- NPI assigned
- Aug 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | LPC.0016926 | CO | Primary |
Addresses
Primary practice location
4689 W 20TH St Unit E
Greeley, CO 80634-3218
Mailing address
3513 38TH Ave
Evans, CO 80620-9107
Phone (970) 518-5266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000196765 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4689 W 20TH St
Unit E
Greeley, CO 80634-3218
Phone (970) 381-2164
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Blooming Health Farms | Mental Health | Current | Accepting new patients |
| Breathe Counseling LLC | Professional | Current | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
4625 W 20th St
#203B
Greeley, CO 80634
4689 W 20th St
Unit E
Greeley, CO 80634
Phone (970) 381-2164
Organizations & group practices 3
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.
-
- Professional Counselor
- Greeley, CO
- NPI 1114698636
-
- Mental Health Counselor
- Greeley, CO
- NPI 1255003828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1912374844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3513 38TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806209107",
"telephone_number": "970-518-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4689 W 20TH ST UNIT E",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343218",
"telephone_number": "970-381-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RYAN",
"middle_name": "A",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-26",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000196765",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.