MEDICARE: RYAN JOESPH BEECHING M.A. IN COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1063829943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN JOESPH BEECHING M.A. IN COUNSELING

Provider Business Mailing Address
First Line	:	6520 W 100 N
Second Line	:
City	:	ANDREWS
State	:	IN
Zip	:	46702-9428
Country	:	US
Telephone Number	:	260-519-3661
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 CONSTITUTION DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1549
Country	:	US
Telephone Number	:	260-255-4770
Fax Number	:	260-240-2191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2014
Last Update Date	:	01/21/2026

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