Provider Demographics
NPI:1528954344
Name:CARGIE, RYAN PATRICIA (LPC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:PATRICIA
Last Name:CARGIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1457
Mailing Address - Country:US
Mailing Address - Phone:708-334-9417
Mailing Address - Fax:
Practice Address - Street 1:2551 N CLARK ST STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-7732
Practice Address - Country:US
Practice Address - Phone:847-979-0268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.021680101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health