KELLY ELISA RYAN MA, LPCC
NPI 1699217315
Counselor - Professional in Vadnais Heights, MN

Active since November 11, 2016PECOS Enrolled
3640 TALMAGE CIR, STE 210, VADNAIS HEIGHTS, MN 55110(651) 493-8150(651) 493-9335 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Elisa Ryan Ma, Lpcc NPPES

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

KELLY ELISA RYAN MA, LPCC (NPI 1699217315) is an individual professional provider in Vadnais Heights, Minnesota, licensed in Minnesota (1272) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699217315
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY ELISA RYANCredential: MA, LPCC
Location Address3640 TALMAGE CIR, STE 210Vadnais Heights, MN 55110-4183
Mailing Address3640 Talmage Cir, Ste 210Vadnais Heights, MN 55110-4183 · (651) 493-8150 · Fax (651) 493-9335
Fax(651) 493-9335
Sole ProprietorNo
Enumeration DateNovember 11, 2016
NPI 1699217315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 1272
3640 TALMAGE CIR, Vadnais Heights, MN 55110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Elisa Ryan Ma, Lpcc 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.

Other Providers at the Same Location NPPES 3

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

Chiropractor
3640 TALMAGE CIR
VADNAIS HEIGHTS, MN 55110
Dermatology
3640 TALMAGE CIR, SUITE 216
VADNAIS HEIGHTS, MN 55110
Acupuncturist
3640 TALMAGE CIR, 105
VADNAIS HEIGHTS, MN 55110

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 Kelly Ryan's NPI number?

The NPI number for Kelly Ryan is 1699217315. It was assigned to this individual provider in the NPPES registry on November 11, 2016.

Where is Kelly Ryan located?

Kelly Ryan practices at 3640 Talmage Cir Ste 210, Vadnais Heights, MN 55110. The listed phone number is (651) 493-8150.

What is Kelly Ryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Ryan enrolled in Medicare?

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

What insurance does Kelly Ryan accept?

Health plans from HealthPartners list Kelly Ryan 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 Kelly Ryan was last updated on November 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.