Individual provider Active NPI

Ryan C Clifford, MA, LMFT

  • Marriage & Family Therapist
  • Cornelius, NC
National Provider Identifier
1831428697
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2502 Issued in NC
Practice address
21000 Torrence Chapel Rd Ste 204
Cornelius, NC 28031-6875
Phone
(919) 407-8791
Fax
(704) 459-8498
NPI assigned
Dec 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 01395 NV
Marriage & Family Therapist 106H00000X 2502 NC Primary

Addresses

Primary practice location

21000 Torrence Chapel Rd Ste 204
Cornelius, NC 28031-6875

Mailing address

21000 Torrence Chapel Rd Ste 204
Cornelius, NC 28031-6875
Phone (919) 407-8791

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 Arts

State licenses

LicenseStateTypeSpecialty
01395NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Minds Marriage & Family Therapist CurrentSince Jan 21, 2024 Accepting new patients
Silver State Counseling and Therapy LLC Marriage & Family Therapist Current Accepting new patients

Locations

21000 Torrence Chapel Rd
Ste 204
Cornelius, NC 28031
Phone (919) 407-8791

2125 Green Vista Dr
Ste 106
Sparks, NV 89431
Phone (775) 622-8890

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1831428697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 204",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316875",
            "telephone_number": "919-407-8791",
            "fax_number": "704-459-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 TORRENCE CHAPEL RD STE 204",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316875",
            "telephone_number": "919-407-8791",
            "fax_number": "704-459-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01395",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.