Individual provider Active NPI

Ryan Wayne Briscoe, LPCC

  • Mental Health Counselor
  • Bakersfield, CA
National Provider Identifier
1558600445
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9152 Issued in CA
Practice address
5329 Office Center CT Ste 224
Bakersfield, CA 93309-7419
Phone
(971) 407-1382
Fax
(661) 336-2800
NPI assigned
Feb 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9152 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X CG60472711 WA
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

5329 Office Center CT Ste 224
Bakersfield, CA 93309-7419

Mailing address

5329 Office Center CT Ste 224
Bakersfield, CA 93309-7419
Phone (971) 407-1382

Other practice location 1

5121 Stockdale Hwy
Suite 275
Bakersfield, CA 93309-2656
Phone (661) 868-5000

Other practice location 2

8645 SE Sunnybrook Blvd # 100
Clackamas, OR 97015-6841
Phone (503) 659-1694

Other practice location 3

7320 SW Hunziker Rd Ste 204
Tigard, OR 97223-2301
Phone (503) 855-6172

Other practice location 4

5050 NE Hoyt St Ste B55
Portland, OR 97213-2957
Phone (503) 659-1694

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
CG60472711WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1558600445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 OFFICE CENTER CT STE 224",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097419",
            "telephone_number": "971-407-1382",
            "fax_number": "661-336-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 OFFICE CENTER CT STE 224",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097419",
            "telephone_number": "971-407-1382",
            "fax_number": "661-336-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5121 Stockdale Hwy",
            "address_2": "Suite 275",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092656",
            "country_code": "US",
            "telephone_number": "661-868-5000",
            "fax_number": "661-836-8834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8645 SE Sunnybrook Blvd # 100",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970156841",
            "country_code": "US",
            "telephone_number": "503-659-1694",
            "fax_number": "503-659-8984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7320 SW Hunziker Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972232301",
            "country_code": "US",
            "telephone_number": "503-855-6172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 NE Hoyt St Ste B55",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132957",
            "country_code": "US",
            "telephone_number": "503-659-1694",
            "fax_number": "503-659-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "RYAN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-12",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "9152",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60472711",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.