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

Ryan Tierra Davenport, LPCA

Individual provider Professional Counselor · NPI 1376088021

Ryan Tierra Davenport, LPCA is a Mental Health Counselor in Lexington, Kentucky. Qualified in 2018, 8 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1255 Providence Place Pkwy Ste 115
Lexington, KY 40511-8379
Phone: (216) 468-5000
Fax: (216) 456-8128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Linville Dr, Paris, KY 40361-2165 — (138) 347-0635

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 287775 (KY)
Professional Counselor Taxonomy 101YP2500X · Licence 246478 (KY)

Record details

NPI number1376088021
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCA
Sole proprietorYes
NPI enumeratedJanuary 4, 2017
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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