Individual provider Active NPI

Ryna Ann Fisher

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1538934708
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859
Phone
(316) 201-6294
Fax
(316) 364-3020
NPI assigned
Nov 17, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 NU Primary

Addresses

Primary practice location

4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859

Mailing address

310 E Nicole Cir
Haysville, KS 67060-6700
Phone (904) 364-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20241023000909 KS Practitioner - Mental Health Counselor 8921531468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Level LLC Professional CurrentSince Oct 11, 2024 Accepting new patients

Locations

345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110

9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110

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, 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": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1538934708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E NICOLE CIR",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670606700",
            "telephone_number": "904-364-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058859",
            "telephone_number": "316-201-6294",
            "fax_number": "316-364-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RYNA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.