JACK RYAN LADC LPC NPI 1922252246

NPI Information

NPI: 1922252246
Provider Name: JACK RYAN, LADC, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
2475 ALBANY AVE STE 203B
WEST HARTFORD, CT
ZIP 06117
Phone: (860) 519-6492
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Jack Ryan, LADC, LPC is a professional counselor in West Hartford, CT. Jack Ryan, LADC, LPC NPI is 1922252246. 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:

2475 ALBANY AVE STE 203B
WEST HARTFORD, CT
ZIP 06117-523
Phone: (860) 519-6492
Fax: (860) 519-6492

The NPI 1922252246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 2/8/2019.

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)			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0008885	CONNECTICUT	No
3	101YP2500X	Counselor	Professional	003589	CONNECTICUT	Yes

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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