360 Coaching & Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69073 Issued in TX

Legal business name

360 COACHING & COUNSELING

Practice address

375 Municipal Dr Ste 232
Richardson, TX 75080-3624

Phone

(214) 490-5162

NPI assigned

Sep 21, 2017

Organization subpart

Yes

Parent organization

DIANA F RYANAs reported in NPPES

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

Authorized official

Name

Diana F Ryan, LPCNPI 1891092888

Title

Owner

Phone

(214) 490-5162

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

360 Coaching Counseling

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Faye Ryan, MSBS

  • Counselor
  • Altus, OK
  • NPI 1891092888
  NPD Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1043729072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W RED BIRD LN",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162134",
            "telephone_number": "580-471-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MUNICIPAL DR STE 232",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803624",
            "telephone_number": "214-490-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 COACHING & COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIANA F RYAN",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-490-5162",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12314",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69073",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3439275-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richardson, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.