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JAKE RYAN MS, AMFT
NPI 1659903326
Marriage & Family Therapist in San Diego, CA

Active since February 10, 2020PECOS Enrolled
3914 MURPHY CANYON RD STE A201, SAN DIEGO, CA 92123(858) 373-7139 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jake Ryan Ms, Amft NPPES

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

JAKE RYAN MS, AMFT (NPI 1659903326) is an individual marriage & family therapist in San Diego, California, licensed in California (115800) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659903326
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJAKE RYANCredential: MS, AMFT
Location Address3914 MURPHY CANYON RD STE A201San Diego, CA 92123-4423
Mailing AddressPo Box 911085San Diego, CA 92191-1085 · (858) 373-7139
Phone(858) 373-7139
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 10, 2020
✔ NPI 1659903326 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 · 115800
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.
3914 MURPHY CANYON RD STE A201, San Diego, CA 92123
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Other Names 1

Former Name (1)Jacob Reinagel

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake Ryan Ms, Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870088842
PECOS Enrollment IDI20251217004763
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 Reassignments

2

Medicare enrollment records show Jake Ryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ehab Yacoub MD Inc.
99 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113
Grow Healthcare Group PC
412 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

Other Providers at the Same Location NPPES

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

JESSE CAMERON JONES
Counselor (Mental Health)
3914 MURPHY CANYON RD STE A201
SAN DIEGO, CA 92123
San Diego County (619) 988-0536

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 Jake Ryan's NPI number?

The NPI number for Jake Ryan is 1659903326. It was assigned to this individual provider in the NPPES registry on February 10, 2020. The provider is also known as Jacob Reinagel.

Where is Jake Ryan located?

Jake Ryan practices at 3914 Murphy Canyon Rd Ste A201, San Diego, CA 92123. The listed phone number is (858) 373-7139.

What is Jake Ryan's specialty?

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

Is Jake Ryan enrolled in Medicare?

Yes. Jake Ryan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jake Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Ryan reassigns Medicare benefits to 2 organizations: Ehab Yacoub MD Inc. (Gardena, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Jake Ryan'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 Jake Ryan was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.