MEDICARE: RYAN BEECHING COUNSELING LLC

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	:	1255122198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYAN BEECHING COUNSELING LLC

Provider Business Mailing 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

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	:	MEMBER
Name	:	RYAN JOSEPH BEECHING
Credential	:	MA, LMHC
Telephone Number	:	260-519-3661

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	01/21/2026

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