Individual provider · Type 1 NPI

Ryan Tylon-Elijah Fields, MHC, MPA

Mental Health Counselor · Ridgewood, NY

NPI number 1053938746 Active

Practice location

5913 Grove St
Ridgewood, NY 11385-2647

Mailing address

7323 210th St Apt 3C
Bayside, NY 11364-2815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053938746

Ryan Tylon-Elijah Fields, MHC, MPA's National Provider Identifier is 1053938746, issued on Jun 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ridgewood, NY. The record was last updated on Sep 29, 2026.