EDDIE RYAN LCSW
NPI 1629307558
Counselor - Addiction (Substance Use Disorder) in Jackson, WY

Q: What is Eddie Ryan's NPI number?

The NPI number for Eddie Ryan is 1629307558. It was assigned to this individual provider in the NPPES registry on December 24, 2009.

Q: What is Eddie Ryan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eddie Ryan was last updated on December 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 24, 2009

610 W. BROADWAY SUITES, SUITE L1, JACKSON, WY 83001(307) 733-3908(307) 734-0017 Get Directions Write a Review

NPPES record last updated: December 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eddie Ryan Lcsw NPPES

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

EDDIE RYAN LCSW (NPI 1629307558) is an individual addiction (substance use disorder) provider in Jackson, Wyoming, licensed in Wyoming (527) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1629307558

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameEDDIE RYANCredential: LCSW

Location Address610 W. BROADWAY SUITES, SUITE L1Jackson, WY 83001

Mailing AddressPo Box 11390Jackson, WY 83002-1390 · (307) 733-3908 · Fax (307) 734-0017

Phone(307) 733-3908

Fax(307) 734-0017

Sole ProprietorNo

Enumeration DateDecember 24, 2009

✔ NPI 1629307558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WY · 527

610 W. BROADWAY SUITES, Jackson, WY 83001

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Other Providers at the Same Location NPPES

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

TRUDYLYNN BIRKEMEYER FUNK LCSW

Counselor (Addiction (Substance Use Disorder))

610 W. BROADWAY SUITES, SUITE L1
JACKSON, WY 83001

Teton County (307) 733-3908

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 Eddie Ryan's NPI number?

The NPI number for Eddie Ryan is 1629307558. It was assigned to this individual provider in the NPPES registry on December 24, 2009.

Where is Eddie Ryan located?

Eddie Ryan practices at 610 W. Broadway Suites Suite L1, Jackson, WY 83001. The listed phone number is (307) 733-3908.

What is Eddie Ryan's specialty?

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

When was this NPI record last updated?

The NPPES record for Eddie Ryan was last updated on December 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.