Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan O Theisen, LADC, LPCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376434597

Ryan O Theisen, LADC, LPCC is an Addiction (Substance Use Disorder) Counselor in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

2950 Xenium Ln N Ste 130
Plymouth, MN 55441-2623
Phone: (612) 564-3535
Fax: (763) 545-8150
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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 5099 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306571 (MN)

Record details

NPI number1376434597
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , LPCC
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

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