Individual provider Active NPI

Jane Hill Riley, PH. D.

  • Marriage & Family Therapist
  • Elkin, NC
National Provider Identifier
1144258518
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
796 Issued in NC
Practice address
194 Edgewood Dr
Elkin, NC 28621-3202
Phone
(336) 526-5860
Fax
(336) 526-7485
NPI assigned
Jun 28, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 796 NC Primary

Addresses

Primary practice location

194 Edgewood Dr
Elkin, NC 28621-3202

Mailing address

194 Edgewood Dr
Elkin, NC 28621-3202
Phone (336) 526-5860

Other identifiers 1

IdentifierTypeStateIssuer
6105199MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030002526 NC Practitioner - Marriage and Family Therapist 2860981735 Practice locations: Yadkinville, NC

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 W Elm St
Suite 1758
Yadkinville, NC 27055-8203
Phone (336) 466-2655

194 Edgewood Dr
Elkin, NC 28621-3202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
796NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144258518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 EDGEWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213202",
            "telephone_number": "336-526-5860",
            "fax_number": "336-526-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 EDGEWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213202",
            "telephone_number": "336-526-5860",
            "fax_number": "336-526-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JANE",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105199",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.