Ryan Cleary, LMHC
Counselor, Mental Health in Smithtown, NY. Individual provider (NPI-1).
NPI number1497320501
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1497320501
- Entity type
- Individual (NPI-1)
- Name
- Ryan Cleary
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2021
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 013719 | NY | Yes |
Practice location
22 Lawrence Ave Ste 213Smithtown, NY 11787-3619
Phone 631-721-4030
Mailing address
91 Raynor RdRidge, NY 11961-1902
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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