Individual provider Active NPI

Laketa D Riley, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1003208729
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
19326 Issued in SC
Practice address
111 Doctor Cir
Columbia, SC 29203-6502
Phone
(800) 491-0909
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN288707 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19326 SC Primary
Family Nurse Practitioner 363LF0000X 19326 SC

Addresses

Primary practice location

111 Doctor Cir
Columbia, SC 29203-6502

Mailing address

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

Other identifiers 1

IdentifierTypeStateIssuer
NP3207MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, IL, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150507000749 SC Practitioner - Nurse Practitioner 9234458555 Reassigns benefits to 5 organizations
I20220120001083 GA Practitioner - Nurse Practitioner 9234458555 Reassigns benefits to 1 organization
I20260224000954 IL Practitioner - Nurse Practitioner 9234458555 Reassigns benefits to 2 organizations
I20260427003546 TX Practitioner - Nurse Practitioner 9234458555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, 226 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

7901 Farrow Rd
Columbia, SC 29203-3220
Phone (803) 935-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 12, 2017 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatric/Mental Health Current Accepting new patients
CH Specialty Services SC LLC Nurse Practitioner CurrentSince Nov 4, 2025 Accepting new patients
Curana Health of South Carolina PC CurrentSince Nov 4, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Psychiatric/Mental Health CurrentSince May 12, 2017 Accepting new patients
Premier Counseling Psychiatric/Mental Health CurrentSince Nov 2, 2018 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Jan 13, 2026 Accepting new patients
SC House Calls Inc CurrentSince Dec 28, 2021 Accepting new patients
SC House Calls Inc CurrentSince Dec 28, 2021 Accepting new patients
Access Telecare, PLLC Nurse Practitioner CurrentSince Jan 13, 2026 Accepting new patients

Locations

624 Ellis St
Augusta, GA 30901

1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242

401 9th St
Lacon, IL 61540
Phone (309) 246-2175

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

7901 Farrow Rd
Columbia, SC 29203
Phone (803) 734-7846

4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

338 E Columbia Ave
#B
Leesville, SC 29070
Phone (803) 532-1580

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1003208729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LAKETA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN288707",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "19326",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3207",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.