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ROBERT RYDER LCPC
NPI 1417729310
Counselor - Mental Health in Rockford, IL

Active since October 24, 2023
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107(815) 469-1500(779) 220-2189 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Robert Ryder Lcpc NPPES

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

ROBERT RYDER LCPC (NPI 1417729310) is an individual mental health provider in Rockford, Illinois, licensed in Illinois (180002981) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1417729310
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT RYDERCredential: LCPC
Location Address2990 N PERRYVILLE RD UNIT 1100Rockford, IL 61107-6827
Mailing Address2990 N Perryville Rd Unit 1100Rockford, IL 61107-6827 · (815) 469-1500 · Fax (779) 220-2189
Phone(815) 469-1500
Fax(779) 220-2189
Sole ProprietorNo
Enumeration DateOctober 24, 2023
Last NPPES UpdateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1417729310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180002981
2990 N PERRYVILLE RD UNIT 1100, Rockford, IL 61107
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Other Providers at the Same Location NPPES 7

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

TERESA JEANNETTE DOHERTY
Speech-Language Pathologist
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107
Winnebago County (815) 469-1500
KEEVA BARTLEY
Behavior Analyst
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107
Winnebago County (815) 469-1500
MIKAYLA JOHNSON BCBA
Behavior Analyst
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107
Winnebago County (779) 220-2147
ELYSIA MARIE RAY
Behavior Analyst
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107
Winnebago County (815) 469-1500
ERIK JOHNSON
Speech-Language Pathologist
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107
Winnebago County (815) 469-1500
COLLEENA SUE SMITH
Behavior Analyst
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107
Winnebago County (815) 469-1500
THOMAS WOOD
Specialist
2990 N PERRYVILLE RD UNIT 1100
ROCKFORD, IL 61107
Winnebago County (779) 220-2147

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 Robert Ryder's NPI number?

The NPI number for Robert Ryder is 1417729310. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Where is Robert Ryder located?

Robert Ryder practices at 2990 N Perryville Rd Unit 1100, Rockford, IL 61107. The listed phone number is (815) 469-1500.

What is Robert Ryder's specialty?

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

When was this NPI record last updated?

The NPPES record for Robert Ryder was last updated on October 25, 2023. 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.