Active NPI
Ryan Joseph Buck, BA
- Counselor
- Roswell, GA
National Provider Identifier
1932964756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 500 Sun Valley Dr Ste D2
Roswell, GA 30076-5636 - Phone
- (770) 910-9162
- NPI assigned
- Feb 20, 2024
- 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 | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
500 Sun Valley Dr Ste D2
Roswell, GA 30076-5636
Mailing address
2560 Treehouse LN
Lawrenceville, GA 30044-2562
Phone (770) 815-4794
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expansion Counseling Services, LLC | Mental Health | Current | Accepting new patients |
Locations
500 Sun Valley Dr
Ste D2
Roswell, GA 30076
Phone (770) 910-9162
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1932964756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 TREEHOUSE LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300442562",
"telephone_number": "770-815-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUN VALLEY DR STE D2",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765636",
"telephone_number": "770-910-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "RYAN",
"middle_name": "JOSEPH",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.