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

Jason Rydzewski

Individual provider Mental Health Counselor · NPI 1689267262

Jason Rydzewski is a Mental Health Counselor in Southfield, Michigan. Qualified in 2012, 14 years ago. Practices with Richard Kneip PHD PC, a 243-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

22170 W 9 Mile Rd
Southfield, MI 48033-6007
Phone: (248) 372-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401223777 (MI)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1689267262
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 16, 2021
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Richard Kneip Phd Pc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southfield