MARIAH A RIDEAUX LMFT
NPI 1962399899
Counselor - Mental Health in San Diego, CA
About Mariah A Rideaux Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAH A RIDEAUX LMFT (NPI 1962399899) is an individual mental health provider in San Diego, California, licensed in California (135594) and active in the NPI registry since June 2025. She has opted out of Medicare through January 16, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mariah A Rideaux 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 16, 2024 through January 16, 2028.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
SAN DIEGO, CA 92128
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 Mariah Rideaux's NPI number?
The NPI number for Mariah Rideaux is 1962399899. It was assigned to this individual provider in the NPPES registry on June 23, 2025.
Where is Mariah Rideaux located?
Mariah Rideaux practices at 12396 World Trade Dr Ste 109, San Diego, CA 92128. The listed phone number is (619) 732-6160.
What is Mariah Rideaux's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mariah Rideaux enrolled in Medicare?
No. Mariah Rideaux has opted out of Medicare through January 16, 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 Mariah Rideaux was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mariah A Rideaux, LMFT · NPI 1962399899
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1962399899 (Entity type: Individual)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 135594 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12396 WORLD TRADE DR STE 109, San Diego, CA 92128-3787
- **Phone:** (619) 732-6160
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 16, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962399899) · Data from the CMS NPPES public registry.