MS. RYAN JULIE PERISHO MS, LMFT
NPI 1568844843
Marriage & Family Therapist in San Mateo, CA

Active since June 23, 2015Opted out of Medicare · through Jan 1, 2028
1510 FASHION ISLAND BLVD STE 110, SAN MATEO, CA 94404(805) 556-7220 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2023, Oct 22, 2019, Mar 21, 2017 (3 updates tracked since 2017).

About Ms. Ryan Julie Perisho Ms, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RYAN JULIE PERISHO MS, LMFT (NPI 1568844843) is an individual marriage & family therapist in San Mateo, California and active in the NPI registry since June 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1568844843
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. RYAN JULIE PERISHOCredential: MS, LMFT
Location Address1510 FASHION ISLAND BLVD STE 110San Mateo, CA 94404-5043
Mailing Address1510 Fashion Island Blvd Ste 110San Mateo, CA 94404-5043 · (805) 556-7220
Sole ProprietorYes
Enumeration DateJune 23, 2015
Last NPPES UpdateFebruary 16, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
NPI 1568844843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X
1510 FASHION ISLAND BLVD STE 110, San Mateo, CA 94404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Ryan Julie Perisho Ms, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1510 FASHION ISLAND BLVD STE 110
SAN MATEO, CA 94404
Marriage & Family Therapist
1510 FASHION ISLAND BLVD STE 110
SAN MATEO, CA 94404
Marriage & Family Therapist
1510 FASHION ISLAND BLVD STE 110
FOSTER CITY, CA 94404
Marriage & Family Therapist
1510 FASHION ISLAND BLVD STE 110
FOSTER CITY, CA 94404
Psychiatry & Neurology (Psychiatry)
1510 FASHION ISLAND BLVD STE 110
SAN MATEO, CA 94404
Marriage & Family Therapist
1510 FASHION ISLAND BLVD STE 110
SAN MATEO, CA 94404
Counselor (Mental Health)
1510 FASHION ISLAND BLVD STE 110
SAN MATEO, CA 94404
Counselor (Mental Health)
1510 FASHION ISLAND BLVD STE 110
SAN MATEO, CA 94404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Perisho's NPI number?

The NPI number for Ryan Perisho is 1568844843. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Ryan Perisho located?

Ryan Perisho practices at 1510 Fashion Island Blvd Ste 110, San Mateo, CA 94404. The listed phone number is (805) 556-7220.

What is Ryan Perisho's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ryan Perisho enrolled in Medicare?

No. Ryan Perisho has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ryan Perisho was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.