MR. RYAN ALLEN FERGUSON LPCC LICDC NPI 1225497217

NPI Information

NPI: 1225497217
Provider Name: MR. RYAN ALLEN FERGUSON, LPCC, LICDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
811 FAIRCREST ST SW
CANTON, OH
ZIP 44706
Phone: (330) 639-4408
Get Directions

MR. Ryan Allen Ferguson, LPCC, LICDC is a professional counselor in Canton, OH. MR. Ryan Allen Ferguson, LPCC, LICDC NPI is 1225497217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

811 FAIRCREST ST SW
CANTON, OH
ZIP 44706-844
Phone: (330) 639-4408
Fax: (330) 639-4436

The enumeration date for this NPI number is 2/18/2016 and was last updated on 2/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	131006	OHIO	No
2	101YP2500X	Counselor	Professional	E.1200585	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0188679	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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