Active NPI
Ryan Gabriel Leake, MA
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1093699100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI4145
- Practice address
- 2901 N Tenaya Way Ste 100
Las Vegas, NV 89128-1404 - Phone
- (702) 870-8852
- NPI assigned
- Aug 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI4145 | NV | Primary |
Addresses
Primary practice location
2901 N Tenaya Way Ste 100
Las Vegas, NV 89128-1404
Mailing address
9704 Panorama Cliff Dr
Las Vegas, NV 89134-6412
Phone (702) 281-7926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 N Tenaya Way
Suite 100
Las Vegas, NV 89128-1404
Phone (702) 870-8852
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI4145 | NV | MD | Marriage & Family Therapist |
| 5118 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Medical, Inc. | Current | Accepting new patients | |
| Safe Harbor Medical, Inc. | Current | Accepting new patients |
Locations
2901 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 291-2151
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1821290115
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1083327456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1093699100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9704 PANORAMA CLIFF DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346412",
"telephone_number": "702-281-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 N TENAYA WAY STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281404",
"telephone_number": "702-870-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAKE",
"first_name": "RYAN",
"middle_name": "GABRIEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI4145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.