NPIMap

Organization Active NPI

Riley Center for Eating Disorders, LLC

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1033588173
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RILEY CENTER FOR EATING DISORDERS, LLC
Practice address
12 Maple Tree CT
Suite 101
Greenville, SC 29615-4078
Phone
(864) 271-0975
Fax
(864) 241-9001
NPI assigned
Sep 18, 2015
Organization subpart
Yes
Parent organization
RILEY THERAPY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Mrs. Beth Riley, MSW, LISW-CP, CEDS
Title
Executive Director
Phone
(864) 271-0975

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

12 Maple Tree CT
Suite 101
Greenville, SC 29615-4078

Mailing address

12 Maple Tree CT
Suite 101
Greenville, SC 29615-4078
Phone (864) 271-0975

National Provider Directory

National Provider Directory
Tax ID family
Riley Center for Eating Disorders LLC2 organizations share this tax ID, including this one
Part of
Riley Therapy PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 Maple Tree Ct
Ste 101
Greenville, SC 29615
Phone (864) 271-0975

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1033588173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAPLE TREE CT",
            "address_2": "SUITE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154078",
            "telephone_number": "864-271-0975",
            "fax_number": "864-241-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAPLE TREE CT",
            "address_2": "SUITE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154078",
            "telephone_number": "864-271-0975",
            "fax_number": "864-241-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY CENTER FOR EATING DISORDERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RILEY THERAPY, PA",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-271-0975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LISW-CP, CEDS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.