Individual provider Active NPI

Nancy L Ryan, LMFT

  • Mental Health Counselor
  • Fair Oaks, CA
National Provider Identifier
1083855787
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10940 Fair Oaks Blvd Ste 600
Fair Oaks, CA 95628-5958
Phone
(916) 426-2757
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 83937 CA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10940 Fair Oaks Blvd Ste 600
Fair Oaks, CA 95628-5958

Mailing address

10940 Fair Oaks Blvd Ste 600
Fair Oaks, CA 95628-5958
Phone (916) 426-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 29, 2024 through Jan 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
83937CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Relationship and Marriage Therapy Center: a Professional Corporation CurrentSince Aug 28, 2022 Accepting new patients

Locations

10235 Fair Oaks Blvd
Ste 203
Fair Oaks, CA 95628
Phone 9164262757 ext. 704

10940 Fair Oaks Blvd
Ste 600
Fair Oaks, CA 95628
Phone (916) 426-2757

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1083855787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 FAIR OAKS BLVD STE 600",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285958",
            "telephone_number": "916-426-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 FAIR OAKS BLVD STE 600",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285958",
            "telephone_number": "916-426-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "83937",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.