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NICOLE RYAN HUMPHREYS LCSW
NPI 1154516052
Social Worker - Clinical in Patton, CA

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369(909) 425-7000 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Ryan Humphreys Lcsw NPPES

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

NICOLE RYAN HUMPHREYS LCSW (NPI 1154516052) is an individual clinical provider in Patton, California, licensed in California (LCSW29557) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154516052
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE RYAN HUMPHREYSCredential: LCSW
Location Address3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICEPatton, CA 92369
Mailing Address3102 E. Highland Avenue, Medical Staff OfficePatton, CA 92369 · (909) 425-7000
Phone(909) 425-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 13, 2007
Last NPPES UpdateNovember 17, 2016
✔ NPI 1154516052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW29557
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
3102 E. HIGHLAND AVENUE, Patton, CA 92369
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Other Names 1

Former Name (1)Nicole Ryan Hunt Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Ryan Humphreys Lcsw 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 ID2163706094
PECOS Enrollment IDI20170221001679
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Humphreys reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mood Clinical, P. C.
46 mi
Family
980 W 17TH ST STE C
Santa Ana, CA 92706
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
NPI 1922675644 (619) 639-9730

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
147 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LEIGH A LINDSEY M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
KENNY CHAN WIN M.D.
Internal Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
NASHIRA YVETTE FUNN LCSW
Social Worker (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DEBRA F JOHNSON LCSW
Social Worker (Clinical)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
MARIANITA ARALAR RAYMUNDO M.D.
Family Medicine
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000
DR. YVONNE CARROL MCDOWELL M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
MR. ROGER JOHN CABANSAG M.D.
Psychiatry & Neurology (Psychiatry)
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
KRISTINE I VINDUA PSY.D.
Psychologist (Clinical)
3102 E. HIGHLAND AVENUE, PATTON STATE HOSPITAL
PATTON, CA 92369
San Bernardino County (909) 425-7679

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 Nicole Humphreys's NPI number?

The NPI number for Nicole Humphreys is 1154516052. It was assigned to this individual provider in the NPPES registry on September 13, 2007. The provider is also known as Nicole Ryan Hunt Lcsw.

Where is Nicole Humphreys located?

Nicole Humphreys practices at 3102 E. Highland Avenue Medical Staff Office, Patton, CA 92369. The listed phone number is (909) 425-7000.

What is Nicole Humphreys's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Humphreys enrolled in Medicare?

Yes. Nicole Humphreys 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.

Which organization bills Medicare for Nicole Humphreys's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Humphreys reassigns Medicare benefits to Mood Clinical, P. C. (Santa Ana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Humphreys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Humphreys was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.