Active NPI
Nancy Ryer Bass, M.A.
- Counselor
- Tallahassee, FL
National Provider Identifier
1760449946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH 8447
- Practice address
- 1965 Capital Cir NE
Tallahassee, FL 32308-8401 - Phone
- (850) 510-2831
- Fax
- (850) 893-1806
- NPI assigned
- Apr 29, 2006
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH 8447 | FL | Primary |
| Counselor | 101Y00000X | LPC 2386 | GA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH 8447 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC 2386 | GA | |
| Mental Health Counselor | 101YM0800X | MH 8447 | FL | |
| Mental Health Counselor | 101YM0800X | LPC 2386 | GA | |
| Professional Counselor | 101YP2500X | MH 8447 | FL | |
| Professional Counselor | 101YP2500X | LPC 2386 | GA |
Addresses
Primary practice location
1965 Capital Cir NE
Tallahassee, FL 32308-8401
Mailing address
3405 Cherokee Ridge TRL
Tallahassee, FL 32312-3607
Phone (850) 893-1806
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256514000 | Other | GA | MAGELLAN |
| 7360135 | Other | AETNA | |
| 550795982 | Other | FL | TRICARE |
| C47400 | Other | GA | CLINICAL EVALUATOR |
| 296140 | Other | FL | WELLCARE |
| 181081 | Other | FL | MHN |
| Z094U | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1968
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3405 Cherokee Ridge TRL
Tallahassee, FL 32312-3607
535 Mack Ave
Kingsley, MI 49649-9220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 8447 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| LPC 2386 | GA | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1760449946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 CHEROKEE RIDGE TRL",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323123607",
"telephone_number": "850-893-1806",
"fax_number": "850-893-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 CAPITAL CIR NE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088401",
"telephone_number": "850-510-2831",
"fax_number": "850-893-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "NANCY",
"middle_name": "RYER",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-29",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH 8447",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC 2386",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH 8447",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC 2386",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8447",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC 2386",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH 8447",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC 2386",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "256514000",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7360135",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "550795982",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL EVALUATOR",
"identifier": "C47400",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "296140",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "181081",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z094U",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.