LILY NAN RYAN MS
NPI 1215681895
Counselor in Phoenix, AZ

Q: What is Lily Ryan's NPI number?

The NPI number for Lily Ryan is 1215681895. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Q: What is Lily Ryan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Lily Ryan enrolled in Medicare?

No. Lily Ryan has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lily Ryan was last updated on February 11, 2022. 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.

Active since February 11, 2022Opted out of Medicare · through Feb 10, 2028

14040 N CAVE CREEK RD STE 205, PHOENIX, AZ 85022(602) 358-7073(888) 927-0409 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lily Nan Ryan Ms NPPES

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

LILY NAN RYAN MS (NPI 1215681895) is an individual counselor in Phoenix, Arizona, licensed in Arizona (MS) and active in the NPI registry since February 2022. She has opted out of Medicare through February 10, 2028.

NPPES Registry Identity

NPI1215681895

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameLILY NAN RYANCredential: MS

Location Address14040 N CAVE CREEK RD STE 205Phoenix, AZ 85022-6179

Mailing Address23380 N 61st DrGlendale, AZ 85310-5748 · (602) 503-0710 · Fax (888) 927-0409

Phone(602) 358-7073

Fax(888) 927-0409

Sole ProprietorNo

Enumeration DateFebruary 11, 2022

NPPES CertifiedFebruary 11, 2022

✔ NPI 1215681895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · MS

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

14040 N CAVE CREEK RD STE 205, Phoenix, AZ 85022

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Other Identifiers 1

Other101Y00000XAZ · Taxonomy

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lily Nan Ryan Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 10, 2026 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2026

Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

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

KELSEY E COCHRANE BS

Behavior Technician