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

Ryan Landes

Individual provider Mental Health Counselor · NPI 1215664776

Ryan Landes is a Mental Health Counselor in Eagle Mountain, Utah. Qualified in 2022, 4 years ago. Practices with Centerstone of Indiana Inc, a 113-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451
Phone: (801) 789-7780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1215664776
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address3714 E Campus Dr Ste 101, Eagle Mountain, UT 84005-5451

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Centerstone Of Indiana Inc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Eagle Mountain