Nicole Ryan Harbeck, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111039 Issued in CA

Practice address

2716 Ocean Park Blvd Ste 2007
Santa Monica, CA 90405

Phone

(424) 835-1847

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 5, 2025 through Dec 5, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1699328476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD STE 2007",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055259",
            "telephone_number": "424-835-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OCEAN PARK BLVD STE 2007",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90405",
            "telephone_number": "424-835-1847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Wilshire Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904032337",
            "country_code": "US",
            "telephone_number": "424-835-1847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Wilshire Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904032337",
            "country_code": "US",
            "telephone_number": "424-835-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBECK",
        "first_name": "NICOLE",
        "middle_name": "RYAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Hanson, PT
• Jessica Apeley Hanson
• Joy Hao, MD
• Mevan Dhaanu Happawana, MD
• Deborah Haratoonian, OTR/L
• Harbor Psychologist, Inc.
• Tiana Marie Hardaway
• Jessica Marie Harding, MSW
• Harold D. Clavin, M.D., Inc.
• Harper Pointe Psychological & Testing

• Marriage & Family Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.