OrganizationActive
Ryan Rehabilitation LLC
NPI 1104391317 · Addiction (Substance Use Disorder) Counselor · College Park, MD
Provider details
- NPI number
- 1104391317
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Melanie Suthard, Billing Manager(301) 942-9773
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7100 Baltimore Ave Ste 105
College Park, MD 20740-3652
Phone: (301) 209-9200
Fax: (301) 209-9202
Street-level locationGet directions
Mailing address
19630 Club House Rd Ste 715
Montgomery Village, MD 20886-3040
Other names (DBA / former)
- Doing business as
- Ryan Rehabilitation, LLC
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.