Kyra F Riddell, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98921 Issued in CA

Practice address

790 East Santa Clara St
Suite 105a
Ventura, CA 93001-2957

Phone

(805) 669-8115

Fax

(805) 669-3661

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1013447036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 EAST SANTA CLARA ST",
            "address_2": "SUITE 105A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012957",
            "telephone_number": "805-669-8115",
            "fax_number": "805-304-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 EAST SANTA CLARA ST",
            "address_2": "SUITE 105A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012957",
            "telephone_number": "805-669-8115",
            "fax_number": "805-669-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDELL",
        "first_name": "KYRA",
        "middle_name": "F",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk PM Richards, PT
• Crystal Evangeline Richardson, RN
• Jeffrey R Richardson, M D
• Paul Edward Richardson
• Scot J Richardson, M.D.
• Darlene Rideaux
• Christian Matthew Rider, LMFT
• Jacob Ryan Rider, D.D.S.
• Rolanda Ridge
• Colleen Ruth Riedell, MFT

• Marriage & Family Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.