MR. JEFFREY SCOTT RYAN LPC,CSAC
NPI 1033358700
Counselor - Professional in Neenah, WI

Q: What is Jeffrey Ryan's NPI number?

The NPI number for Jeffrey Ryan is 1033358700. It was assigned to this individual provider in the NPPES registry on February 19, 2009.

Q: What is Jeffrey Ryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Ryan was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2009PECOS Enrolled

1136 WESTOWNE DR, NEENAH, WI 54956(920) 456-2030 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jeffrey Scott Ryan Lpc,csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY SCOTT RYAN LPC,CSAC (NPI 1033358700) is an individual professional provider in Neenah, Wisconsin, licensed in Wisconsin (5280-125) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Neenah, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1033358700

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JEFFREY SCOTT RYANCredential: LPC,CSAC

Location Address1136 WESTOWNE DRNeenah, WI 54956-2175

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 456-2030

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 19, 2009

Last NPPES UpdateMay 12, 2026

NPPES CertifiedMay 12, 2026

✔ NPI 1033358700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 5280-125

Also ListedCounselorTaxonomy 101Y00000X · License 5280-125 (WI)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15254 (WI)

1136 WESTOWNE DR, Neenah, WI 54956

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Secondary Practice Location 1

Location 11370 S Commercial StNeenah, WI 54956-4636 · Phone (920) 637-4089 · Fax (866) 491-1465

Other Identifiers 1

Medicaid39176400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Scott Ryan Lpc,csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719452358

PECOS Enrollment IDI20260410001822

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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