GLEN W RYSWYK MDIV LPC LMFT
NPI 1598778920
Counselor - Mental Health in Lawton, OK

Active since August 15, 2006Opted out of Medicare · through Apr 9, 2027
5002 SW LEE BLVD, LAWTON, OK 73505(580) 531-4512(580) 531-4519 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen W Ryswyk Mdiv Lpc Lmft NPPES

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

GLEN W RYSWYK MDIV LPC LMFT (NPI 1598778920) is an individual mental health provider in Lawton, Oklahoma, licensed in Oklahoma (577) and active in the NPI registry since August 2006. He has opted out of Medicare through April 9, 2027.

NPPES Registry Identity

NPI1598778920
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGLEN W RYSWYKCredential: MDIV LPC LMFT
Location Address5002 SW LEE BLVDLawton, OK 73505-8320
Mailing Address5002 Sw Lee BlvdLawton, OK 73505-8320 · (580) 531-4512 · Fax (580) 531-4519
Fax(580) 531-4519
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateSeptember 14, 2011
NPI 1598778920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OK · 577
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 717 (OK)
5002 SW LEE BLVD, Lawton, OK 73505

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Glen W Ryswyk Mdiv Lpc Lmft 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 9, 2025 through April 9, 2027.

Opt-Out Effective DateApril 9, 2025
Opt-Out In Effect ThroughApril 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
5002 SW LEE BLVD, STE 44 CHRISTIAN FAMILY COUNSELING CENTER, INC.
LAWTON, OK 73505
Specialist
5002 SW LEE BLVD
LAWTON, OK 73505
Counselor (Mental Health)
5002 SW LEE BLVD, CHRISTIAN FAMILY COUNSELING CENTER
LAWTON, OK 73505
Clinic/Center (Mental Health (Including Community Mental Health Center))
5002 SW LEE BLVD
LAWTON, OK 73505
Marriage & Family Therapist
5002 SW LEE BLVD
LAWTON, OK 73505
Counselor (Mental Health)
5002 SW LEE BLVD
LAWTON, OK 73505
Marriage & Family Therapist
5002 SW LEE BLVD
LAWTON, OK 73505
Marriage & Family Therapist
5002 SW LEE BLVD
LAWTON, OK 73505

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 Glen Ryswyk's NPI number?

The NPI number for Glen Ryswyk is 1598778920. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Glen Ryswyk located?

Glen Ryswyk practices at 5002 SW Lee Blvd, Lawton, OK 73505. The listed phone number is (580) 531-4512.

What is Glen Ryswyk's specialty?

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

Is Glen Ryswyk enrolled in Medicare?

No. Glen Ryswyk has opted out of Medicare through April 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Glen Ryswyk accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and Providence Health Plan and 1 other insurer list Glen Ryswyk 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 Glen Ryswyk was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.