1. Home
  2. Directory
  3. California
  4. San Jacinto
  5. Marriage Family Therapist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. NICK EDWARD RYAN LMFT
NPI 1295756781
Marriage & Family Therapist in San Jacinto, CA

Active since July 21, 2006Opted out of Medicare · through May 2, 2027
1695 S SAN JACINTO AVE STE ABCDF, SAN JACINTO, CA 92583(951) 330-3100(951) 350-1050 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2026, Jul 6, 2026, May 10, 2024 (3 updates tracked since 2024).

About Dr. Nick Edward Ryan Lmft NPPES

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

DR. NICK EDWARD RYAN LMFT (NPI 1295756781) is an individual marriage & family therapist in San Jacinto, California, licensed in California (37693) and active in the NPI registry since July 2006. He has opted out of Medicare through May 2, 2027 and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1295756781
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. NICK EDWARD RYANCredential: LMFT
Location Address1695 S SAN JACINTO AVE STE ABCDFSan Jacinto, CA 92583-5103
Mailing Address1695 S San Jacinto Ave Ste AbcdfSan Jacinto, CA 92583-5103 · (951) 330-3100 · Fax (951) 350-1050
Phone(951) 330-3100
Fax(951) 350-1050
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1295756781 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 CA · 37693
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.

1695 S SAN JACINTO AVE STE ABCDF, San Jacinto, CA 92583
Open in Google Maps ↗

Secondary Practice Location 1

Location 14221 Wilshire Blvd Ste 394Los Angeles, CA 90010-3561 · Phone (323) 375-0950

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nick Edward Ryan Lmft 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 May 2, 2025 through May 2, 2027.

Opt-Out Effective DateMay 2, 2025
Opt-Out In Effect ThroughMay 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

What is Nick Ryan's NPI number?

The NPI number assigned to this healthcare provider is 1295756781, enumerated as an "individual" on July 21, 2006.

Where is the provider located?

The provider is located at 1695 S SAN JACINTO AVE STE ABCDF SAN JACINTO, CA 92583 and the phone number is (951) 330-3100.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.