Individual provider Active NPI

Ryan Mebust, IMFT

  • Marriage & Family Therapist
  • Kettering, OH
National Provider Identifier
1710285093
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F1100002 Issued in OH
Practice address
2670 Woodman Center CT
Kettering, OH 45420-1477
Phone
(937) 439-0505
Fax
(937) 293-0650
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F1100002 OH Primary

Addresses

Primary practice location

2670 Woodman Center CT
Kettering, OH 45420-1477

Mailing address

2670 Woodman Center CT
Kettering, OH 45420-1477
Phone (937) 439-0505

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
F1100002OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Transformations, LLC Past Accepting new patients
Blanche E Pearson Past Accepting new patients

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1710285093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 WOODMAN CENTER CT",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201477",
            "telephone_number": "937-439-0505",
            "fax_number": "937-293-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 WOODMAN CENTER CT",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201477",
            "telephone_number": "937-439-0505",
            "fax_number": "937-293-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEBUST",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "IMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F1100002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.