RYAN BURKE LPC
NPI 1265844815
Counselor - Addiction (Substance Use Disorder) in Jackson, WY

Active since May 29, 2014PECOS Enrolled
610 W BROADWAY AVE, STE L1, JACKSON, WY 83001(307) 733-3908(307) 734-0017 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Burke Lpc NPPES

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

RYAN BURKE LPC (NPI 1265844815) is an individual addiction (substance use disorder) provider in Jackson, Wyoming, licensed in Wyoming (LPC-1544) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1265844815
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRYAN BURKECredential: LPC
Location Address610 W BROADWAY AVE, STE L1Jackson, WY 83001-8213
Mailing AddressPo Box 11390Jackson, WY 83002-1390 · (307) 733-3908 · Fax (307) 734-0017
Fax(307) 734-0017
Sole ProprietorNo
Enumeration DateMay 29, 2014
Last NPPES UpdateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
NPI 1265844815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in WY · LPC-1544 Licensed in WY · PPC 830
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-1544 (WY)
610 W BROADWAY AVE, Jackson, WY 83001

Secondary Practice Location 1

Location 1640 E Broadway AveJackson, WY 83001-8642 · Phone (307) 733-2046 · Fax (307) 733-6289

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 (PECOS)

Ryan Burke Lpc 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 10

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

Internal Medicine
610 W BROADWAY AVE, SUITE 108
JACKSON, WY 83001
Social Worker (Clinical)
610 W BROADWAY AVE
JACKSON, WY 83001
Dentist
610 W BROADWAY AVE
JACKSON, WY 83001
Social Worker
610 W BROADWAY AVE, STE L1
JACKSON, WY 83001
Marriage & Family Therapist
610 W BROADWAY AVE, 109
JACKSON, WY 83001
Social Worker (Clinical)
610 W BROADWAY AVE
JACKSON, WY 83001
Social Worker (Clinical)
610 W BROADWAY AVE
JACKSON, WY 83001
Dentist (General Practice)
610 W BROADWAY AVE
JACKSON, WY 83001

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 Burke's NPI number?

The NPI number for Ryan Burke is 1265844815. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Ryan Burke located?

Ryan Burke practices at 610 W Broadway Ave Ste L1, Jackson, WY 83001. The listed phone number is (307) 733-3908.

What is Ryan Burke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Ryan Burke enrolled in Medicare?

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

What insurance does Ryan Burke accept?

Health plans from Blue Cross Blue Shield of Wyoming list Ryan Burke 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 Burke was last updated on July 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.