Jody J Ritter, CAGS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13212-0000 Issued in NY

Practice address

207 Waterbury Dr
North Syracuse, NY 13212-2722

Phone

(401) 391-3986

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 11, 2024 through Feb 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1982803185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WATERBURY DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122722",
            "telephone_number": "401-391-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WATERBURY DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122722",
            "telephone_number": "401-391-3986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 E Genesee St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130272544",
            "country_code": "US",
            "telephone_number": "401-298-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITTER",
        "first_name": "JODY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CAGS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00829",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "13212-0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JR68513",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Renk
• Rebecca Jennifer Rensy-Tallarico, FNP
• Heidi Lee Richards, CASAC
• Robert C Richman II, R-PAC
• Rite Aid of New York Inc
• Tracy Lynn Robinson
• Carol Ann Rolince, ANP
• David Rose
• John Oliver Rosser, MD
• Adam P Rufa, PT

• Mental Health Counselor in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.