Active NPI
Nancy E Ryden, RN,LMHC
- Mental Health Counselor
- Rockledge, FL
National Provider Identifier
1881744290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH0003865
- Practice address
- 197 Bougainvillea Dr
Suite a
Rockledge, FL 32955-2481 - Phone
- (321) 636-6884
- Fax
- (321) 636-6846
- NPI assigned
- Jan 11, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH0003865 | FL | Primary |
Addresses
Primary practice location
197 Bougainvillea Dr
Suite a
Rockledge, FL 32955-2481
Mailing address
197 Bougainvillea Dr
Suite a
Rockledge, FL 32955-2481
Phone (321) 636-6884
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH0003865 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Psychiatry & Psychology Inc | Mental Health | Past | Accepting new patients |
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": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881744290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 BOUGAINVILLEA DR",
"address_2": "SUITE A",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552481",
"telephone_number": "321-636-6884",
"fax_number": "321-636-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 BOUGAINVILLEA DR",
"address_2": "SUITE A",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552481",
"telephone_number": "321-636-6884",
"fax_number": "321-636-6846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDEN",
"first_name": "NANCY",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "RN,LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH0003865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.