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RYAN NICKOLAS EDWARDS NONE
NPI 1740717305
Counselor - Mental Health in Oak Brook, IL

Active since May 15, 2017PECOS Enrolled
600 ENTERPRISE DR STE 220, OAK BROOK, IL 60523(844) 632-7736(888) 972-3621 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jan 2, 2019, May 15, 2017 (2 updates tracked since 2017).

About Ryan Nickolas Edwards None NPPES

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

RYAN NICKOLAS EDWARDS NONE (NPI 1740717305) is an individual mental health provider in Oak Brook, Illinois, licensed in Illinois (178.014360) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740717305
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRYAN NICKOLAS EDWARDSCredential: NONE
Location Address600 ENTERPRISE DR STE 220Oak Brook, IL 60523
Mailing Address2334 W Belden AveChicago, IL 60647-3223 · (630) 656-4853
Phone(844) 632-7736
Fax(888) 972-3621
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 15, 2017
Last NPPES UpdateJanuary 2, 20192 updates tracked since enumeration
✔ NPI 1740717305 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 IL · 178.014360
600 ENTERPRISE DR STE 220, Oak Brook, IL 60523
Open in Google Maps ↗

Secondary Practice Location 1

Location 11431 N Claremont Ave Fl 2Chicago, IL 60622-1702 · Phone (312) 633-5890

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Nickolas Edwards None is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698282192
PECOS Enrollment IDI20250826002527
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.

DR. SETH ASHOK EAPPEN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
600 ENTERPRISE DR STE 220
OAK BROOK, IL 60523
Dupage County (844) 632-7736
SETH A. EAPPEN, MD PLLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
600 ENTERPRISE DR STE 220
OAK BROOK, IL 60523
Dupage County (844) 632-7736
CARLY L KORANDA DNP, APN, PNP-PC,
Psychiatry & Neurology (Psychiatry)
600 ENTERPRISE DR STE 220
OAK BROOK, IL 60523
Dupage County (844) 632-7736

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 Edwards's NPI number?

The NPI number for Ryan Edwards is 1740717305. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Ryan Edwards located?

Ryan Edwards practices at 600 Enterprise Dr Ste 220, Oak Brook, IL 60523. The listed phone number is (844) 632-7736.

What is Ryan Edwards's specialty?

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

Is Ryan Edwards enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Edwards was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.