Individual provider Active NPI

Tara Ryan, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1386171189
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74125 Issued in TX
Practice address
6319 Maverick Oak Dr
San Antonio, TX 78240-2672
Phone
(210) 383-7513
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 74125 TX
Mental Health Counselor 101YM0800X 74125 TX Primary
Professional Counselor 101YP2500X 74125 TX

Addresses

Primary practice location

6319 Maverick Oak Dr
San Antonio, TX 78240-2672

Mailing address

6319 Maverick Oak Dr
San Antonio, TX 78240-2672
Phone (210) 383-7513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240212002261 TX Practitioner - Mental Health Counselor 0345683884 Reassigns benefits to 2 organizations
I20240423002318 CA Practitioner - Mental Health Counselor 0345683884 Reassigns benefits to 1 organization
I20250807003391 CO Practitioner - Mental Health Counselor 0345683884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15464CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Mar 19, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 21, 2024 Accepting new patients
Rhapsody Counseling and Wellness Center PC Mental Health CurrentSince Mar 1, 2024 Accepting new patients
Calypso Counseling PLLC Mental Health Current Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

11901 Toepperwein Rd
Ste 1106
Live Oak, TX 78233
Phone (210) 286-9339

6391 De Zavala Rd
Ste 100
San Antonio, TX 78249
Phone (210) 286-9339

Organizations & group practices 4

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1386171189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 MAVERICK OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402672",
            "telephone_number": "210-383-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 MAVERICK OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402672",
            "telephone_number": "210-383-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TARA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "74125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.