RYAN WILLARD LAC
NPI 1770445033
Counselor - Mental Health in Mesa, AZ

Q: What is Ryan Willard's NPI number?

The NPI number for Ryan Willard is 1770445033. It was assigned to this individual provider in the NPPES registry on November 25, 2025.

Q: What is Ryan Willard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Willard was last updated on November 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 25, 2025

2509 S POWER RD STE 110, MESA, AZ 85209(480) 912-4691 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ryan Willard Lac NPPES

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

RYAN WILLARD LAC (NPI 1770445033) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LAC-23093) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1770445033

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameRYAN WILLARDCredential: LAC

Location Address2509 S POWER RD STE 110Mesa, AZ 85209-6696

Mailing Address4025 E Gail CtGilbert, AZ 85296-9603

Phone(480) 912-4691

Sole ProprietorNo

Enumeration DateNovember 25, 2025

NPPES CertifiedNovember 25, 2025

✔ NPI 1770445033 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 AZ · LAC-23093

2509 S POWER RD STE 110, Mesa, AZ 85209

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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.

ROSALIND RICKS LAC

Counselor (Mental Health)