Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Israel Ryder, LPC

Individual provider Professional Counselor · NPI 1104504794

Jacob Israel Ryder, LPC is a Mental Health Counselor in Hampton, Virginia. Practices with Hampton Newport News Community Services Board, a 26-clinician group and accepts Medicare assignment. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

200 Medical Dr
Hampton, VA 23666-1763
Phone: (757) 788-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701012308 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0710103463 (VA)

Record details

NPI number1104504794
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Group practice Hampton Newport News Community Services Board — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hampton