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RYAN DAVID PASTOR MA, LCMHC
NPI 1477144749
Counselor - Mental Health in Huntersville, NC

Active since January 29, 2021PECOS EnrolledAccepts Medicare Assignment
9930 KINCEY AVE STE 100, HUNTERSVILLE, NC 28078(855) 501-1004 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Jan 29, 2021 (2 updates tracked since 2021).

About Ryan David Pastor Ma, Lcmhc NPPES

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

RYAN DAVID PASTOR MA, LCMHC (NPI 1477144749) is an individual mental health provider in Huntersville, North Carolina, licensed in North Carolina (12355) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477144749
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRYAN DAVID PASTORCredential: MA, LCMHC
Location Address9930 KINCEY AVE STE 100Huntersville, NC 28078-6541
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (855) 501-1004
Phone(855) 501-1004
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 29, 2021
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1477144749 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 NC · 12355
9930 KINCEY AVE STE 100, Huntersville, NC 28078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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 David Pastor Ma, Lcmhc 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 ID4183157852
PECOS Enrollment IDI20241101003573
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 13

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

PRENNA DORIZ JACKSON
Physician Assistant
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (855) 501-1004
AMANDA ANN ALSTON PA-C
Physician Assistant
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (855) 501-1004
CHRISTOPHER DANIEL FOX DO
Psychiatry & Neurology (Psychiatry)
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 326-7485
DR. REQUITA MARIE DEMERY LEE MD
Psychiatry & Neurology (Psychiatry)
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (855) 501-1004
LAKIESHA JOHNSON SQUIREWELL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (855) 501-1004
MS. DAVETTE PATTERSON-YOUNT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (855) 501-1004
JENNIFER ALLISON JAHNS PA-C
Physician Assistant
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (855) 501-1004
AMY LEIGH HOSFORD M.A., ED.S.
Counselor (Mental Health)
9930 KINCEY AVE STE 100
HUNTERSVILLE, NC 28078
Mecklenburg County (855) 501-1004

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 Pastor's NPI number?

The NPI number for Ryan Pastor is 1477144749. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Where is Ryan Pastor located?

Ryan Pastor practices at 9930 Kincey Ave Ste 100, Huntersville, NC 28078. The listed phone number is (855) 501-1004.

What is Ryan Pastor's specialty?

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

Is Ryan Pastor enrolled in Medicare?

Yes. Ryan Pastor 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.

What insurance does Ryan Pastor accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Ryan Pastor 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 Pastor was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.