Individual provider Active NPI

Retta Lynn Riley

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
National Provider Identifier
1093235855
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CBT-2024-0721 Issued in NM
Practice address
2501 San Pedro Dr NE # 118
Albuquerque, NM 87110-4131
Phone
(505) 463-1970
NPI assigned
Jun 22, 2017
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CBT-2024-0721 NM Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2501 San Pedro Dr NE # 118
Albuquerque, NM 87110-4131

Mailing address

5915 Mahoney LN
Albuquerque, NM 87107-4954
Phone (505) 463-1970

Other identifiers 1

IdentifierTypeStateIssuer
72129859MedicaidNM

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

State licenses

LicenseStateTypeSpecialty
CBT-2024-0721NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Themis Training and Consulting LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1258 Ortiz Dr SE
#100
Albuquerque, NM 87108
Phone (505) 463-1970

2501 San Pedro Dr NE
#118
Albuquerque, NM 87110
Phone (505) 249-3826

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1093235855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 MAHONEY LN",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074954",
            "telephone_number": "505-463-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SAN PEDRO DR NE # 118",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104131",
            "telephone_number": "505-463-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "RETTA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CBT-2024-0721",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72129859",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.