Individual provider Active NPI

Ryan Plumb, MS, AMFT, APCC

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1740058692
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
164680 Issued in CA
Practice address
1330 Lincoln Avenue
Suite 103
San Rafael, CA 94901-2141
Phone
(415) 779-2496
NPI assigned
Dec 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13462 CA
Marriage & Family Therapist 106H00000X 164680 CA Primary

Addresses

Primary practice location

1330 Lincoln Avenue
Suite 103
San Rafael, CA 94901-2141

Mailing address

1330 Lincoln Avenue
Suite 103
San Rafael, CA 94901-2141
Phone (415) 779-2496

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
138074CAMDMarriage & Family Therapist
13462CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1740058692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LINCOLN AVENUE",
            "address_2": "SUITE 103",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012141",
            "telephone_number": "415-779-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LINCOLN AVENUE",
            "address_2": "SUITE 103",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012141",
            "telephone_number": "415-779-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "RYAN",
        "credential": "MS, AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13462",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.