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

Jason B Ryan, PLPC

Individual provider Professional Counselor · NPI 1104128321

Jason B Ryan, PLPC is a Mental Health Counselor in Kennett, Missouri. Qualified in 2008, 18 years ago. Practices with Family Counseling Center Inc, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2010
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Practice location Address checks out

935 State Route Vv
Kennett, MO 63857
Phone: (573) 888-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 — (573) 334-1100

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2010003885 (MO)

Record details

NPI number1104128321
Entity typeIndividual (Type 1)
GenderMale
Credentials PLPC
Sole proprietorNo
NPI enumeratedNovember 19, 2010
Last updated in NPPESApril 1, 2019
Mailing address935 State Route Vv, Kennett, MO 63857-3822

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Family Counseling Center Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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