RYAN AIDAN LUNDERGAN LGPC
NPI 1184342172
Counselor - Professional in North East, MD

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
2057 PULASKI HWY STE 4, NORTH EAST, MD 21901(443) 877-4044 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Aidan Lundergan Lgpc NPPES

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

RYAN AIDAN LUNDERGAN LGPC (NPI 1184342172) is an individual professional provider in North East, Maryland and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Parkville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184342172
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRYAN AIDAN LUNDERGANCredential: LGPC
Location Address2057 PULASKI HWY STE 4North East, MD 21901-3744
Mailing Address22 Roger Valley CtParkville, MD 21234-1442 · (443) 766-9018
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
NPI 1184342172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2057 PULASKI HWY STE 4, North East, MD 21901

Secondary Practice Location 1

Location 122 Roger Valley CtParkville, MD 21234-1442 · Phone (443) 766-9018

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

Ryan Aidan Lundergan Lgpc 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 ID5890279350
PECOS Enrollment IDI20260323002253
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 10

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

Social Worker
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Marriage & Family Therapist
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Counselor (Professional)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Counselor (Professional)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Social Worker (Clinical)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Counselor (Mental Health)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Counselor (Mental Health)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901
Counselor (Professional)
2057 PULASKI HWY STE 4
NORTH EAST, MD 21901

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 Lundergan's NPI number?

The NPI number for Ryan Lundergan is 1184342172. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Ryan Lundergan located?

Ryan Lundergan practices at 2057 Pulaski Hwy Ste 4, North East, MD 21901. The listed phone number is (443) 877-4044.

What is Ryan Lundergan's specialty?

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

Is Ryan Lundergan enrolled in Medicare?

Yes. Ryan Lundergan 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.

When was this NPI record last updated?

The NPPES record for Ryan Lundergan was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.