RYAN GABRIEL LEAKE MA
NPI 1093699100
Marriage & Family Therapist in Las Vegas, NV

Q: What is Ryan Leake's NPI number?

The NPI number for Ryan Leake is 1093699100. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Q: What is Ryan Leake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Leake was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 01, 2025PECOS Enrolled

2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128(702) 870-8852 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ryan Gabriel Leake Ma NPPES

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

RYAN GABRIEL LEAKE MA (NPI 1093699100) is an individual marriage & family therapist in Las Vegas, Nevada, licensed in Nevada (MI4145) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093699100

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameRYAN GABRIEL LEAKECredential: MA

Location Address2901 N TENAYA WAY STE 100Las Vegas, NV 89128-1404

Mailing Address9704 Panorama Cliff DrLas Vegas, NV 89134-6412 · (702) 281-7926

Phone(702) 870-8852

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1093699100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NV · MI4145

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.

2901 N TENAYA WAY STE 100, Las Vegas, NV 89128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Gabriel Leake Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587161120

PECOS Enrollment IDI20251008004626

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

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