JASON B RYAN PLPC
NPI 1104128321
Counselor - Professional in Kennett, MO

Active since November 19, 2010PECOS EnrolledAccepts Medicare Assignment
935 STATE ROUTE VV, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason B Ryan Plpc NPPES

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

JASON B RYAN PLPC (NPI 1104128321) is an individual professional provider in Kennett, Missouri, licensed in Missouri (2010003885) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cape Girardeau, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1104128321
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON B RYANCredential: PLPC
Location Address935 STATE ROUTE VVKennett, MO 63857
Mailing Address935 State Route VvKennett, MO 63857-3822 · (573) 888-5925
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 19, 2010
Last NPPES UpdateApril 1, 2019
NPI 1104128321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2010003885
935 STATE ROUTE VV, Kennett, MO 63857

Secondary Practice Location 1

Location 1402 S Silver Springs RdCape Girardeau, MO 63703-7536 · Phone (573) 334-1100 ext. 6131 · Fax (573) 334-8819

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jason B Ryan Plpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365891421
PECOS Enrollment IDI20231214001175
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.

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.

Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Social Worker (Clinical)
935 STATE ROUTE VV
KENNETT, MO 63857
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Community Health Worker
935 STATE ROUTE VV
KENNETT, MO 63857
Counselor (Professional)
935 STATE ROUTE VV
KENNETT, MO 63857
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857
Behavior Technician
935 STATE ROUTE VV
KENNETT, MO 63857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Ryan's NPI number?

The NPI number for Jason Ryan is 1104128321. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Where is Jason Ryan located?

Jason Ryan practices at 935 State Route Vv, Kennett, MO 63857. The listed phone number is (573) 888-5925.

What is Jason Ryan's specialty?

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

Is Jason Ryan enrolled in Medicare?

Yes. Jason Ryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Ryan accept?

Health plans from Medica list Jason Ryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Ryan was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.