Mariah A Rideaux, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

135594 Issued in CA

Practice address

12396 World Trade Dr Ste 109
San Diego, CA 92128-3787

Phone

(619) 732-6160

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mosaic Center for Mental Health

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1578454237

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1962399899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283787",
            "telephone_number": "619-732-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12396 WORLD TRADE DR STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283787",
            "telephone_number": "619-732-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEAUX",
        "first_name": "MARIAH",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "135594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassaundra Riddle
• Nellie L Riddle, CMT
• Breonte Riddlesprigger
• Ride-in Transport LLC
• Ride2Care
• Ridecare Transportation LLC
• Cora Ridenour
• Rider Mobility Inc.
• Carol Rider, L.AC.
• Dalton Austin Rider

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.

Verify at the official NPI Registry.