Individual provider Active NPI

Anamaria Ryan

  • Professional Counselor
  • Bonita Springs, FL
National Provider Identifier
1205178894
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH12123 Issued in FL
Practice address
27499 Riverview Center Blvd Ste 260
Bonita Springs, FL 34134-4359
Phone
(239) 494-0840
NPI assigned
Mar 21, 2013
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH12123 FL Primary

Addresses

Primary practice location

27499 Riverview Center Blvd Ste 260
Bonita Springs, FL 34134-4359

Mailing address

2503 Del Prado Blvd S Ste 410
Cape Coral, FL 33904-5709
Phone (239) 209-3301

Other practice location 1

2503 Del Prado Blvd S Ste 410
Cape Coral, FL 33904-5709
Phone (239) 494-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240226000711 FL Practitioner - Mental Health Counselor 0840635231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27499 Riverview Ctr Blvd
Suite 260
Bonita Springs, FL 34134-4359
Phone (239) 344-8420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH12123FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anamaria Ryan LMHC Cap Wellness Counseling PLLC CurrentSince Jan 1, 2024 Accepting new patients
I-Bos Counseling Center, LLC Professional PastSince Sep 1, 2021 Accepting new patients

Locations

27499 Riverview Center Blvd
Bonita Springs, FL 34134
Phone (239) 334-1478

27499 Riverview Center Blvd
Ste 260
Bonita Springs, FL 34134
Phone (239) 344-8420

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1205178894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 DEL PRADO BLVD S STE 410",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045709",
            "telephone_number": "239-209-3301",
            "fax_number": "239-242-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27499 RIVERVIEW CENTER BLVD STE 260",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344359",
            "telephone_number": "239-494-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 Del Prado Blvd S Ste 410",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339045709",
            "country_code": "US",
            "telephone_number": "239-494-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ANAMARIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.