Individual provider Active NPI

Ryan James Gogarty

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1194213983
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
126085 Issued in CA
Practice address
1399 Ygnacio Valley Rd Ste 24
Walnut Creek, CA 94598-2869
Phone
(925) 335-6778
NPI assigned
Apr 26, 2018
Reactivated
Jun 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 126085 CA Primary
Mental Health Counselor 101YM0800X 126085 CA
Student in an Organized Health Care Education/Training Program 390200000X 108521 CA
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1399 Ygnacio Valley Rd Ste 24
Walnut Creek, CA 94598-2869

Mailing address

62 Silver Pine LN
Danville, CA 94506-4535
Phone (925) 216-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
126085CAMDClinical Social Worker
108521CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1194213983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SILVER PINE LN",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064535",
            "telephone_number": "925-216-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD STE 24",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982869",
            "telephone_number": "925-335-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGARTY",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "deactivation_date": "2018-05-25",
        "reactivation_date": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126085",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "126085",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "108521",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.