VIVIAN RYU LCSW PLLC
NPI 1962030833
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sierra Vista, AZ
About Vivian Ryu Lcsw Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN RYU LCSW PLLC (NPI 1962030833) is a healthcare organization registered as a mental health (including community mental health center) in Sierra Vista, Arizona and active in the NPI registry since March 2020. The organization lists Vivian Ryu, Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vivian Ryu Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vivian Ryu Lcsw PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vivian Ryu Lcsw PLLC's NPI number?
The NPI number for Vivian Ryu Lcsw PLLC is 1962030833. It was assigned to this organization in the NPPES registry on March 27, 2020.
Where is Vivian Ryu Lcsw PLLC located?
Vivian Ryu Lcsw PLLC is located at 2300 E Fry Blvd, Sierra Vista, AZ 85635. The listed phone number is (520) 559-4976.
What is Vivian Ryu Lcsw PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Vivian Ryu Lcsw PLLC enrolled in Medicare?
Yes. Vivian Ryu Lcsw PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vivian Ryu Lcsw PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Vivian Ryu Lcsw PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vivian Ryu Lcsw PLLC was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Vivian Ryu Lcsw Pllc · NPI 1962030833
Mental Health (Including Community Mental Health Center) organization in Sierra Vista, Arizona. Organization record, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1962030833 (Entity type: Organization)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Vivian Ryu, THERAPIST
## Practice location
- **Address:** 2300 E FRY BLVD, Sierra Vista, AZ 85635-2712
- **Phone:** (520) 559-4976
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1962030833) · Data from the CMS NPPES public registry.