Active NPI
Tracey Ryan, LMFT
- Marriage & Family Therapist
- Califon, NJ
National Provider Identifier
1750878369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FI00181200
- Practice address
- 1 Hoffman Dr
Califon, NJ 07830-4332 - Phone
- (908) 310-7067
- NPI assigned
- Apr 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00181200 | NJ | Primary |
Addresses
Primary practice location
1 Hoffman Dr
Califon, NJ 07830-4332
Mailing address
1 Hoffman Dr
Califon, NJ 07830-4332
Phone (908) 310-7067
Other names 1
- Tracey Bauer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 18, 2024 through Jul 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37FI00181200 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1750878369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOFFMAN DR",
"city": "CALIFON",
"state": "NJ",
"postal_code": "078304332",
"telephone_number": "908-310-7067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOFFMAN DR",
"city": "CALIFON",
"state": "NJ",
"postal_code": "078304332",
"telephone_number": "908-310-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "TRACEY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00181200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "BAUER",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Califon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.