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DR. RYAN JOSEPH STIVERS PH.D. LMFT LPC NPI 1316268113


NPI Information

NPI: 1316268113
Provider Name: DR. RYAN JOSEPH STIVERS, PH.D., LMFT, LPC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
1717 W CANDLETREE DR
STE. B
PEORIA, IL
ZIP 61614
Phone: (309) 713-1485
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DR. Ryan Joseph Stivers, PH.D., LMFT, LPC is a marriage family therapist in Peoria, IL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DR. Ryan Joseph Stivers, PH.D., LMFT, LPC NPI is 1316268113. 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:

1717 W CANDLETREE DR
STE. B
PEORIA, IL
ZIP 61614-592
Phone: (309) 713-1485

The enumeration date for this NPI number is 6/15/2010 and was last updated on 11/1/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistM1206007ARKANSASNo
2101YP2500XCounselorProfessionalP1111086ARKANSASNo
3106H00000XMarriage & Family Therapist166001032ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1182287795MEDICAIDARKANSAS

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

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