Active NPI
Amy Rynn, LCPC, ATR-BC, LPC
- Professional Counselor
- Marquette, MI
National Provider Identifier
1922680313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401222979
- Practice address
- 1025 W Washington St Ste B
Marquette, MI 49855-4031 - Phone
- (906) 256-2951
- Fax
- (906) 629-6334
- NPI assigned
- Apr 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.011896 | IL | |
| Professional Counselor | 101YP2500X | 180.011896 | IL | |
| Professional Counselor | 101YP2500X | 6401222979 | MI | Primary |
Addresses
Primary practice location
1025 W Washington St Ste B
Marquette, MI 49855-4031
Mailing address
1025 W Washington St Ste B
Marquette, MI 49855-4031
Phone (906) 256-2951
Other practice location 1
1108 W Washington St Ste C
Marquette, MI 49855-4076
Phone (906) 256-2951
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 |
|---|---|---|---|
| 180.011896 | IL | MD | Professional Counselor |
| 6401222979 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woven Path Art Therapy and Counseling LLC | Professional | Current | Accepting new patients |
| Caught Dreamin' Therapy, LLC | Current | Accepting new patients | |
| Ewelina Beardmore Psychotherapy LLC | Past | Accepting new patients |
Locations
1108 W Washington St
Ste C
Marquette, MI 49855
Phone (906) 256-2951
1025 W Washington St
Ste B
Marquette, MI 49855
Phone (906) 256-2951
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
- Ishpeming, MI
- NPI 1699594549
-
- Adult Mental Health Clinic/Center
- Marquette, MI
- NPI 1861122152
-
- Mental Health Counselor
- Chicago, IL
- NPI 1376169284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1922680313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W WASHINGTON ST STE B",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554031",
"telephone_number": "906-256-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W WASHINGTON ST STE B",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554031",
"telephone_number": "906-256-2951",
"fax_number": "906-629-6334"
}
],
"practiceLocations": [
{
"address_1": "1108 W Washington St Ste C",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498554076",
"country_code": "US",
"telephone_number": "906-256-2951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYNN",
"first_name": "AMY",
"credential": "LCPC, ATR-BC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-25",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.011896",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.011896",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401222979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.