JOHN RYAN – Counselor, NPI 1093116113

JOHN RYAN is a healthcare provider. based in Poncha springs, Colorado. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for JOHN RYAN is 1093116113

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHN RYAN
NPI
1093116113
Phone
Not provided
Address
PO BOX 7
Enumeration Date
8 September 2014
Last Update Date
8 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195893671
Graduation Year
2015 (11 years ago)
PAC ID
7618310152
Group Practice PAC ID
0345267779
Professional Enrollment ID
I20240212002256
Address ID
CO811019610AL8745X9XXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for JOHN RYAN

  • PO BOX 7

    PONCHA SPRINGS, CO 812420007

    Phone:

    Type: Mailing

  • 8745 COUNTY ROAD 9 S

    ALAMOSA, CO 811019610

    Phone: (719) 589-3671

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240212002256IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345267779View full group profile
NameSpecialtyState
-CO
Clinical Social WorkerCO
Mental Health CounselorCO
Nurse PractitionerCO
Mental Health CounselorCO
Mental Health CounselorCO
Mental Health CounselorCO
Mental Health CounselorCO
Geriatric MedicineCO
Mental Health CounselorCO

Reviews

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Frequently asked questions

Does JOHN RYAN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN RYAN uses 1093116113.
Is JOHN RYAN listed as active for patients and plans?
The listing shows JOHN RYAN as active in the NPI system.
What is JOHN RYAN best known for clinically?
Directory data describes JOHN RYAN with Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN RYAN on a map?
Expect Poncha Springs, Colorado as a primary anchor for JOHN RYAN unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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