Tiarra Lashay Riddick

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

220 Heberton Ave # 2B
Staten Island, NY 10302-1415

Phone

(718) 448-1900

Fax

(718) 448-1903

NPI assigned

Aug 15, 2026

Last updated

Aug 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amethyst House , Inc.

  • Substance Abuse Rehabilitation Facility
  • Staten Island, NY
  • NPI 1952036303
  NPD (past)

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1043125024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HEBERTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021415",
            "telephone_number": "929-466-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HEBERTON AVE # 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021415",
            "telephone_number": "718-448-1900",
            "fax_number": "718-448-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDICK",
        "first_name": "TIARRA",
        "middle_name": "LASHAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cora B Richter, LCSW
• David Matthew Rick, MHC-LP
• Shannon Rick
• Lawan Rickenbacker, PSYD
• Marjorie Jeanne Rico, M.D., PH.D.
• Jessica Ann Riepe, P.A.
• Michelle Rifkin-Mamaradlo, L.M.S.W.
• Cristen Rigatti
• Alexis Rigo
• Danielle Riili-Mazniker, OD

• Addiction (Substance Use Disorder) Counselor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.