Provider Demographics
NPI:1154854925
Name:RYAN COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:RYAN COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:847-800-6722
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:ATTN: JOAN M. RYAN, LCPC
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-0188
Mailing Address - Country:US
Mailing Address - Phone:847-800-6722
Mailing Address - Fax:847-516-2856
Practice Address - Street 1:8600 US HIGHWAY 14
Practice Address - Street 2:SUITE 205B
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60012-2706
Practice Address - Country:US
Practice Address - Phone:847-800-6722
Practice Address - Fax:847-516-2856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.010005101Y00000X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty