Individual provider Active NPI

Thomas S Ryan, LCPC

  • Professional Counselor
  • Plainfield, IL
National Provider Identifier
1952377012
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001892 Issued in IL
Practice address
23819 W Mill St Ste 109
Plainfield, IL 60544-3488
Phone
(630) 290-3013
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-001892 IL Primary

Addresses

Primary practice location

23819 W Mill St Ste 109
Plainfield, IL 60544-3488

Mailing address

23819 W Mill St Ste 109
Plainfield, IL 60544-3488
Phone (630) 290-3013

Other identifiers 1

IdentifierTypeStateIssuer
01626747OtherILBCBS ID

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

LicenseStateTypeSpecialty
180-001892ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Leptandrum Inc Professional CurrentSince Dec 22, 2024 Accepting new patients

Locations

23819 W Mill St
Ste 109
Plainfield, IL 60544
Phone (630) 290-3013

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1952377012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23819 W MILL ST STE 109",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443488",
            "telephone_number": "630-290-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23819 W MILL ST STE 109",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443488",
            "telephone_number": "630-290-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "01626747",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.