Individual provider

Jacob Ryder, LPC

Professional Counselor Addiction (Substance Use Disorder) Counselor Medicare enrolled

Jacob Ryder, LPC is a Professional Counselor in Hampton, VA, registered under NPI 1104504794. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 200 MEDICAL DR, Hampton, VA 23666. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

200 MEDICAL DR, Hampton, VA 23666 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0701012308 VA Professional Counselor primary
0710103463 VA Addiction (Substance Use Disorder)…

This provider holds licence 0701012308 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
4981142999
Enrollment ID
I20240821000919

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 0701012308 VA primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) 0710103463 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104504794 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 5, 2023
Last updatedJul 5, 2023
StatusActive
Sole proprietorNo
CredentialLPC
Practice address 200 MEDICAL DR
Hampton, VA 23666
(757) 788-0200
Mailing address 300 MEDICAL DR
Hampton, VA 23666
Other identifiers 0710103463 · Other (VA)
0701012308 · Other (VA)
The last update on file is Jul 5, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104504794 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 5 0 4 7 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 1 0 8 7 9

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104504794?
NPI 1104504794 is the National Provider Identifier assigned to Jacob Ryder, LPC in Hampton, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Jacob Ryder, LPC?
The phone number on file with NPPES is (757) 788-0200, last updated Jul 5, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jacob Ryder, LPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104504794 a valid number?
Yes. 1104504794 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.