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RYAN PATRICK KENNEDY M.S.
NPI 1093857757
Marriage & Family Therapist in Santa Ana, CA

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
3601 S HARBOR BLVD STE 100, SANTA ANA, CA 92704(714) 644-6480(714) 428-3477 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Patrick Kennedy M.s. NPPES

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

RYAN PATRICK KENNEDY M.S. (NPI 1093857757) is an individual marriage & family therapist in Santa Ana, California, licensed in California (MFC 53770) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1093857757
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameRYAN PATRICK KENNEDYCredential: M.S.
Location Address3601 S HARBOR BLVD STE 100Santa Ana, CA 92704-7937
Mailing Address3601 S Harbor Blvd Ste 100Santa Ana, CA 92704-7937 · (714) 644-6480 · Fax (714) 428-3477
Phone(714) 644-6480
Fax(714) 428-3477
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 27, 2021
NPPES CertifiedDecember 27, 2021
✔ NPI 1093857757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 53770
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 50420 (CA)
Also ListedRehabilitation PractitionerTaxonomy 225400000X · License 50420 (CA)
3601 S HARBOR BLVD STE 100, Santa Ana, CA 92704
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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 and accepts Medicare assignment

Ryan Patrick Kennedy M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658713078
PECOS Enrollment IDI20240530001028
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 3

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

JOYCE Y PENN LCSW
Social Worker (Clinical)
3601 S HARBOR BLVD STE 100
SANTA ANA, CA 92704
Orange County (714) 223-2600
ALYSSA GENIA MARIE ONG RAFIL LCSW
Counselor (Mental Health)
3601 S HARBOR BLVD STE 100
SANTA ANA, CA 92704
Orange County (714) 644-6480
MISS XINNUO LI
Marriage & Family Therapist
3601 S HARBOR BLVD STE 100
SANTA ANA, CA 92704
Orange County (714) 644-6480

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 Ryan Kennedy's NPI number?

The NPI number for Ryan Kennedy is 1093857757. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Ryan Kennedy located?

Ryan Kennedy practices at 3601 S Harbor Blvd Ste 100, Santa Ana, CA 92704. The listed phone number is (714) 644-6480.

What is Ryan Kennedy's specialty?

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

Is Ryan Kennedy enrolled in Medicare?

Yes. Ryan Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Kennedy was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.