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JENNA RAE RYAN
NPI 1679170716
Counselor - Mental Health in Oxford, CT

Active since October 01, 2020PECOS Enrolled
350 CENTER ROCK GRN STE 9, OXFORD, CT 06478(203) 951-1858(203) 307-1771 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenna Rae Ryan NPPES

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

JENNA RAE RYAN (NPI 1679170716) is an individual mental health provider in Oxford, Connecticut and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679170716
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNA RAE RYAN
Location Address350 CENTER ROCK GRN STE 9Oxford, CT 06478-3170
Mailing Address350 Center Rock Grn Ste 9Oxford, CT 06478-3170 · (120) 395-1185
Phone(203) 951-1858
Fax(203) 307-1771
Sole ProprietorNo
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1679170716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
350 CENTER ROCK GRN STE 9, Oxford, CT 06478
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Rae Ryan 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.

Medicare Billing Reassignment

Medicare enrollment records show Jenna Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Griffin Hospital
7.2 mi
General Acute Care Hospital
130 DIVISION ST
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 77 clinicians in this Medicare group
NPI 1184639973 (203) 732-7360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

STEPHANIE PAVLO LPC
Counselor (Professional)
350 CENTER ROCK GRN STE 9
OXFORD, CT 06478
Naugatuck Valley Planning Region (203) 951-1858
JAMIE LYNN SABATINO
Marriage & Family Therapist
350 CENTER ROCK GRN STE 9
OXFORD, CT 06478
Naugatuck Valley Planning Region (203) 951-1858
MRS. JENNIFER O'CONNOR
Social Worker (Clinical)
350 CENTER ROCK GRN STE 9
OXFORD, CT 06478
Naugatuck Valley Planning Region (203) 951-1858
THERESA ALECIA ROSE
Counselor (Professional)
350 CENTER ROCK GRN STE 9
OXFORD, CT 06478
Naugatuck Valley Planning Region (860) 532-8222
JENNA WILLS LCSW
Social Worker (Clinical)
350 CENTER ROCK GRN STE 9
OXFORD, CT 06478
Naugatuck Valley Planning Region (203) 951-1858
ANISA K. TALIERCIO
Social Worker
350 CENTER ROCK GRN STE 9
OXFORD, CT 06478
Naugatuck Valley Planning Region (203) 951-1858

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 Jenna Ryan's NPI number?

The NPI number for Jenna Ryan is 1679170716. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Jenna Ryan located?

Jenna Ryan practices at 350 Center Rock Grn Ste 9, Oxford, CT 06478. The listed phone number is (203) 951-1858.

What is Jenna Ryan's specialty?

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

Is Jenna Ryan enrolled in Medicare?

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

Which organization bills Medicare for Jenna Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Ryan reassigns Medicare benefits to The Griffin Hospital (Derby, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenna Ryan was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.