1. Home
  2. Directory
  3. Maryland
  4. Reisterstown
  5. Counselor
  6. NPI Profile

DR. NICOLE JENNIFER RYAN PSY.D
NPI 1811182207
Counselor - Professional in Reisterstown, MD

Active since September 10, 2007PECOS EnrolledAccepts Medicare Assignment
37 MAIN ST, REISTERSTOWN, MD 21136(410) 526-7882 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nicole Jennifer Ryan Psy.d NPPES

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

DR. NICOLE JENNIFER RYAN PSY.D (NPI 1811182207) is an individual professional provider in Reisterstown, Maryland, licensed in Maryland (LC2423) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1811182207
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. NICOLE JENNIFER RYANCredential: PSY.D
Location Address37 MAIN STReisterstown, MD 21136-1236
Mailing Address37 Main StReisterstown, MD 21136-1236 · (410) 526-7882
Phone(410) 526-7882
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 10, 2007
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1811182207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC2423
37 MAIN ST, Reisterstown, MD 21136
Open in Google Maps ↗

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

Dr. Nicole Jennifer Ryan Psy.d 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 ID648432203
PECOS Enrollment IDI20120427000497
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 Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Street Mobile Treatment Associates Inc
Same address
Psychologist
37 MAIN ST
Reisterstown, MD 21136
  • Reassigned Medicare billing, Maryland enrollment
  • 8 clinicians in this Medicare group
NPI 1134139637 (410) 526-7882

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 20

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

ILANA MEILLER LCPC
Counselor (Mental Health)
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7882
JENNA SHUMAN LGPC
Counselor (Mental Health)
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7882
ELLEN R LOVE LCSW-C
Social Worker (Clinical)
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7882
JOSHUA MANDELL LGPC
Counselor (Mental Health)
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 812-5623
MRS. CHRISTINA LOUISE ROCK LCPC
Community Health Worker
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7882
MAIN STREET MOBILE TREATMENT ASSOCIATES INC
Psychologist
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7882
MAIN STREET MOBILE TREATMENT ASSOCIATES
Community/Behavioral Health
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7882
MAIN STREET MOBILE TREATMENT ASSOCIATES
Community/Behavioral Health
37 MAIN ST
REISTERSTOWN, MD 21136
Baltimore County (410) 526-7882

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 Ryan's NPI number?

The NPI number for Nicole Ryan is 1811182207. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Nicole Ryan located?

Nicole Ryan practices at 37 Main St, Reisterstown, MD 21136. The listed phone number is (410) 526-7882.

What is Nicole Ryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Ryan enrolled in Medicare?

Yes. Nicole Ryan 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 Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Ryan reassigns Medicare benefits to Main Street Mobile Treatment Associates Inc (Reisterstown, MD). 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 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 Nicole Ryan was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.