NPIMap

Organization Active NPI

Caitlin M Ryan LCPC LTD

  • Mental Health Counselor
  • Orland Park, IL
National Provider Identifier
1982970471
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.007109 Issued in IL
Legal business name
CAITLIN M RYAN LCPC LTD
Practice address
15127 S 73Rd Ave
Ste C
Orland Park, IL 60462-4398
Phone
(708) 586-9303
Fax
(866) 950-9427
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Caitlin Ryan, LCPC
Title
LCPC
Phone
(708) 586-9303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180.007109 IL Primary

Addresses

Primary practice location

15127 S 73Rd Ave
Ste C
Orland Park, IL 60462-4398

Mailing address

15127 S 73Rd Ave
Ste C
Orland Park, IL 60462-4398
Phone (708) 586-9303

National Provider Directory

National Provider Directory

Locations

15127 S 73rd Ave
Ste C
Orland Park, IL 60462
Phone (708) 586-9303

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1982970471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE",
            "address_2": "STE C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624398",
            "telephone_number": "708-586-9303",
            "fax_number": "866-950-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE",
            "address_2": "STE C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624398",
            "telephone_number": "708-586-9303",
            "fax_number": "866-950-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITLIN M RYAN LCPC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "708-586-9303",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.