Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Lisman, MA, APCC

Individual provider Mental Health Counselor · NPI 1912563248

Ryan Lisman, MA, APCC is a Mental Health Counselor in Van Nuys, California. Qualified in 2025, 1 year ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

16600 Sherman Way
Van Nuys, CA 91406-3875
Phone: (818) 386-1094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6026 (CA)

Record details

NPI number1912563248
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , APCC
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESMay 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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