Organization Active NPI

Ryan Phillips LPC, L.L.C.

  • Adult Mental Health Clinic/Center
  • Zachary, LA
National Provider Identifier
1952784647
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
5379 Issued in LA
Legal business name
RYAN PHILLIPS LPC, L.L.C.
Practice address
15273A Milldale Rd
Zachary, LA 70791-8013
Phone
(225) 278-6178
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Mr. Ryan Dale Phillips, LPC, NCC, MEDNPI 1902250962
Title
Licensed Professional Counselor
Phone
(225) 278-6178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 5379 LA Primary

Addresses

Primary practice location

15273A Milldale Rd
Zachary, LA 70791-8013

Mailing address

15273A Milldale Rd
Zachary, LA 70791-8013
Phone (225) 278-6178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1952784647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15273A MILLDALE RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707918013",
            "telephone_number": "225-278-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15273A MILLDALE RD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707918013",
            "telephone_number": "225-278-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN PHILLIPS LPC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "225-278-6178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC, MED"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "LA",
            "license": "5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.