Ryan Krickow, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120474 Issued in CA

Practice address

111 Fairmount Ave
Oakland, CA 94611-5918

Phone

(415) 915-9497

NPI assigned

Feb 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1922691161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SE HAWTHORNE BLVD # 939",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145246",
            "telephone_number": "415-915-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FAIRMOUNT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115918",
            "telephone_number": "415-915-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICKOW",
        "first_name": "RYAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Alice Krempetz
• Rachel Hannah Kreps-Falk, M.D.
• Amanda Renee Kress, PT, DPT
• Richard Kreutzer
• Amie Rebecca Krey
• Fran Krieger Lowitz, PHD
• Robyn Krieger, MS
• Wayne Aaron Krimmel, D.C.
• Yana L. Kriseman, MD
• Mala Kokila Krishnamoorthy

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.