Jacob Ryder, LPC
NPI 1104504794 · Professional Counselor · Hampton, VA
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Ryder, LPC is a Professional Counselor provider in Hampton, VA (NPI 1104504794).
Provider details
- NPI number
- 1104504794
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 0701012308 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Frequently asked questions
- What is Jacob Ryder's NPI number?
- Jacob Ryder's National Provider Identifier (NPI) is 1104504794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Ryder's specialty?
- Jacob Ryder is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jacob Ryder located?
- Jacob Ryder's practice location on file with NPPES is 200 Medical Dr, Hampton, VA 23666-1763.
- What is Jacob Ryder's phone number?
- The practice phone number listed in the NPPES registry for Jacob Ryder is (757) 788-0200.
- Does Jacob Ryder accept Medicare?
- Jacob Ryder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Ryder's NPI active?
- Yes — Jacob Ryder's NPI (1104504794) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.