RENEE RIDLEY – Marriage & Family Therapist, NPI 1801454426

RENEE RIDLEY is a healthcare provider. based in Sun valley, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 142510 (CA). The NPI Number for RENEE RIDLEY is 1801454426

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
RENEE RIDLEY
NPI
1801454426
Phone
(818) 582-8832
Address
8140 SUNLAND BLVD APT 13
Enumeration Date
29 May 2019
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604537175
Graduation Year
2018 (8 years ago)
PAC ID
7214479401
Group Practice PAC ID
1456764216
Professional Enrollment ID
I20240603003412
Address ID
CA920082371CA785XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

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Provider Addresses for RENEE RIDLEY

  • Sunland Boulevard, Sun Valley, Los Angeles, Los Angeles County, California, 91352-2054, United States

    SUN VALLEY, CA 913523948

    Phone: (818) 582-8832

    Type: Mailing

  • 20331, Flanagan Road, Robinson Ranch, Trabuco Canyon, Orange County, California, 92679, United States

    TRABUCO CANYON, CA 92679

    Phone: (818) 582-8832

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603003412IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91352)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456764216View full group profile
NameSpecialtyState
Clinical PsychologistCA
Marriage And Family TherapistCA
Clinical PsychologistCA
Clinical PsychologistCA
Marriage And Family TherapistCA
Clinical PsychologistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Does RENEE RIDLEY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RENEE RIDLEY uses 1801454426.
Does the file indicate RENEE RIDLEY is practicing under active NPI?
Directory data currently reports RENEE RIDLEY as active.
What is RENEE RIDLEY's specialty?
The listing groups RENEE RIDLEY with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is RENEE RIDLEY based?
RENEE RIDLEY is tied to Sun Valley, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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