RYAN DEBOER LPC
NPI 1164954053
Counselor - Professional in Okemos, MI

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
2395 JOLLY RD STE 160, OKEMOS, MI 48864(517) 301-5399 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2020, Feb 28, 2019, Mar 30, 2017 (3 updates tracked since 2017).

About Ryan Deboer Lpc NPPES

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

RYAN DEBOER LPC (NPI 1164954053) is an individual professional provider in Okemos, Michigan, licensed in Michigan (6401017109) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164954053
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRYAN DEBOERCredential: LPC
Location Address2395 JOLLY RD STE 160Okemos, MI 48864-5977
Mailing Address2395 Jolly Rd Ste 160Okemos, MI 48864-5977 · (517) 918-4371
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2017
Last NPPES UpdateJune 26, 20203 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1164954053 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 MI · 6401017109
2395 JOLLY RD STE 160, Okemos, MI 48864

Secondary Practice Location 1

Location 12160 Glencoe Hills Dr Apt 12Ann Arbor, MI 48108-1022 · Phone (517) 918-4371

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Deboer Lpc 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 ID9234557828
PECOS Enrollment IDI20240110000620
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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Deboer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
3970 HERITAGE AVE
Okemos, MI 48864
  • Reassigned Medicare billing, Michigan enrollment
  • 22 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
2395 JOLLY RD STE 160
OKEMOS, MI 48864
Clinic/Center (Adult Mental Health)
2395 JOLLY RD STE 160
OKEMOS, MI 48864
Social Worker (Clinical)
2395 JOLLY RD STE 160
OKEMOS, MI 48864
Social Worker
2395 JOLLY RD STE 160
OKEMOS, MI 48864
Clinic/Center (Adult Mental Health)
2395 JOLLY RD STE 160
OKEMOS, MI 48864
Social Worker (Clinical)
2395 JOLLY RD STE 160
OKEMOS, MI 48864
Counselor (Mental Health)
2395 JOLLY RD STE 160
OKEMOS, MI 48864
Social Worker (Clinical)
2395 JOLLY RD STE 160
OKEMOS, MI 48864

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 Deboer's NPI number?

The NPI number for Ryan Deboer is 1164954053. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Ryan Deboer located?

Ryan Deboer practices at 2395 Jolly Rd Ste 160, Okemos, MI 48864. The listed phone number is (517) 301-5399.

What is Ryan Deboer's specialty?

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

Is Ryan Deboer enrolled in Medicare?

Yes. Ryan Deboer 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.

Which organization bills Medicare for Ryan Deboer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Deboer reassigns Medicare benefits to Spring Forest Counseling LLP (Okemos, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Deboer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Deboer accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Ryan Deboer 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 Ryan Deboer was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.