MR. RYAN GERALD POTEMPA MS, LMFT
NPI 1114441128
Marriage & Family Therapist in Peoria, IL

Q: What is Ryan Potempa's NPI number?

The NPI number for Ryan Potempa is 1114441128. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Q: What is Ryan Potempa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Potempa was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 01, 2017PECOS Enrolled

7617 N VILLA WOOD LN, PEORIA, IL 61614(309) 693-8200 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Aug 1, 2017 (2 updates tracked since 2017).

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About Mr. Ryan Gerald Potempa Ms, Lmft NPPES

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

MR. RYAN GERALD POTEMPA MS, LMFT (NPI 1114441128) is an individual marriage & family therapist in Peoria, Illinois, licensed in Illinois (166.001366) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114441128

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. RYAN GERALD POTEMPACredential: MS, LMFT

Location Address7617 N VILLA WOOD LNPeoria, IL 61614-1588

Mailing Address7617 N Villa Wood LnPeoria, IL 61614-1588

Phone(309) 693-8200

Sole ProprietorNo

Enumeration DateAugust 1, 2017

Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1114441128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IL · 166.001366

Definition

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.

7617 N VILLA WOOD LN, Peoria, IL 61614

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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. Ryan Gerald Potempa Ms, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 18

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

MS. DEBRA FAY DISNEY LCPC

Counselor (Professional)

7617 N VILLA WOOD LN
PEORIA, IL 61614

Peoria County (309) 693-8200

MRS. DEVIN PATRICIA HENDERSON LCSW

Social Worker

7617 N VILLA WOOD LN
PEORIA, IL 61614

Peoria County (309) 693-8200

TERRI FRAN SHAFER LCPC

Counselor (Professional)

7617 N VILLA WOOD LN
PEORIA, IL 61614

Peoria County (309) 693-8200

MRS. HEIDI M TURCOTT LCSW

Counselor

7617 N VILLA WOOD LN, JOY MILLER & ASSOC
PEORIA, IL 61614

Peoria County (309) 693-8200

MRS. KAREN GRIFFITH GREENE LCPC

Counselor (Professional)

7617 N VILLA WOOD LN
PEORIA, IL 61614

Peoria County (309) 693-8200

MS. JUDY ANNE CARLSON LCPC

Counselor (Professional)

7617 N VILLA WOOD LN
PEORIA, IL 61614

Peoria County (309) 693-8200

MICHELE JOEY HOLMAN LCSW

Social Worker (Clinical)

7617 N VILLA WOOD LN
PEORIA, IL 61614

Peoria County (309) 693-8200

SHERRY MARIE DOCKINS LCPC

Counselor (Professional)

7617 N VILLA WOOD LN
PEORIA, IL 61614

Peoria County (309) 693-8200

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 Ryan Potempa's NPI number?

The NPI number for Ryan Potempa is 1114441128. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Ryan Potempa located?

Ryan Potempa practices at 7617 N Villa Wood Ln, Peoria, IL 61614. The listed phone number is (309) 693-8200.

What is Ryan Potempa's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ryan Potempa enrolled in Medicare?

Yes. Ryan Potempa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Potempa was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.