Active NPI
Marianne Riley, MA
- Mental Health Counselor
- Germantown, MD
National Provider Identifier
1043651144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP4904
- Practice address
- 12955 Pinnacle Dr
402
Germantown, MD 20874-9100 - Phone
- (240) 547-7636
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP4904 | MD | Primary |
Addresses
Primary practice location
12955 Pinnacle Dr
402
Germantown, MD 20874-9100
Mailing address
10 N Jefferson St
Suite 203
Frederick, MD 21701-3500
Phone (240) 547-7636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP4904 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1043651144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 N JEFFERSON ST",
"address_2": "SUITE 203",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013500",
"telephone_number": "240-547-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12955 PINNACLE DR",
"address_2": "402",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208749100",
"telephone_number": "240-547-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MARIANNE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP4904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.