Active NPI
Ryan Wayne Briscoe, LPCC
- Mental Health Counselor
- Bakersfield, CA
National Provider Identifier
1558600445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9152
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CG60472711 | WA | MD | Mental 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.