Active NPI
Ryan Stuart Price, MA, LPC
- Professional Counselor
- Shady Cove, OR
National Provider Identifier
1972088110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6051
- Practice address
- 21850 Highway 62 # 200
Shady Cove, OR 97539-8715 - Phone
- (541) 241-2105
- NPI assigned
- Oct 3, 2018
- Last updated
- Jul 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C6051 | OR | Primary |
| Mental Health Counselor | 101YM0800X | LPC-23107 | AZ |
Addresses
Primary practice location
21850 Highway 62 # 200
Shady Cove, OR 97539-8715
Mailing address
128 W Antler Ave
Redmond, OR 97756-1852
Phone (541) 241-2105
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-23107 | AZ | MD | Mental Health Counselor |
| C6051 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mending Waters Counseling LLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1972088110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 W ANTLER AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561852",
"telephone_number": "541-241-2105",
"fax_number": "458-256-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21850 HIGHWAY 62 # 200",
"city": "SHADY COVE",
"state": "OR",
"postal_code": "975398715",
"telephone_number": "541-241-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "RYAN",
"middle_name": "STUART",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6051",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-23107",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shady Cove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.