MRS. DANIELLE LARAY RYDER
NPI 1225463672
Counselor - Mental Health in Pegram, TN

Active since September 04, 2013Opted out of Medicare · through Apr 10, 2028
2965 OLD SAMS CREEK RD, PEGRAM, TN 37143(615) 352-4392 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Danielle Laray Ryder NPPES

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

MRS. DANIELLE LARAY RYDER (NPI 1225463672) is an individual mental health provider in Pegram, Tennessee and active in the NPI registry since September 2013. She has opted out of Medicare through April 10, 2028.

NPPES Registry Identity

NPI1225463672
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DANIELLE LARAY RYDER
Location Address2965 OLD SAMS CREEK RDPegram, TN 37143-6000
Mailing Address2965 Old Sams Creek RdPegram, TN 37143-6000 · (615) 352-4392
Sole ProprietorNo
Enumeration DateSeptember 4, 2013
NPI 1225463672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2965 OLD SAMS CREEK RD, Pegram, TN 37143

Other Names 1

Former Name (1)Miss Danielle Laray Hess

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Danielle Laray Ryder has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2024 through April 10, 2028.

Opt-Out Effective DateApril 10, 2024
Opt-Out In Effect ThroughApril 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Danielle Ryder's NPI number?

The NPI number for Danielle Ryder is 1225463672. It was assigned to this individual provider in the NPPES registry on September 4, 2013. The provider is also known as Miss Danielle Laray Hess.

Where is Danielle Ryder located?

Danielle Ryder practices at 2965 Old Sams Creek Rd, Pegram, TN 37143. The listed phone number is (615) 352-4392.

What is Danielle Ryder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Danielle Ryder enrolled in Medicare?

No. Danielle Ryder has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Danielle Ryder was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.