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

Ryan Nolan Bloxham, LMHC

Individual provider Mental Health Counselor · NPI 1730848508

Ryan Nolan Bloxham, LMHC is a Mental Health Counselor in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Optum Behavioral Care of Connecticut PC, a 128-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

575 Boylston St Fl 2W
Boston, MA 02116-3607
Phone: (617) 354-4450
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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 · Licence LMHC10005171 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730848508
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC
Sole proprietorNo
NPI enumeratedDecember 9, 2021
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Optum Behavioral Care Of Connecticut Pc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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