Sean D Ryan, LCMHC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0680054951 Issued in VT

Practice address

856 Upper Quarry Rd
Newport, VT 05855-8878

Phone

(802) 673-6088

NPI assigned

May 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1982923728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 UPPER QUARRY RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558878",
            "telephone_number": "802-673-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 UPPER QUARRY RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558878",
            "telephone_number": "802-673-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SEAN",
        "middle_name": "D",
        "credential": "LCMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000473",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680054951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Robertson
• Catherine Rossi, LICSW LADC
• Corinne Rossignol
• Chelsea Melanie Roy, MA,BCBA, LBA
• Tristan Roy, PA-C
• Shari Lee Ryan, LCMHC
• Nathanael Salloum, DMD
• Christalee-Gayle Shian Santouse
• Gerald Robin Saparoff, MD
• Russell G. Sarver, MD

• Mental Health Counselor in Newport, VT
• Providers in Newport, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.