Kirk Remon Riddle, LICENSED PROFESSIONA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01YP2500X Issued in IL

Practice address

1525 E. 53Rd Street, Suite 425
Chicago, IL 60615

Phone

(773) 819-5504

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Male

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

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healing Empowering & Learning Professionals LLC

  dba Help LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1871883496
  Medicare reassignment

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1205387990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 S. WOOD STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "904-502-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E. 53RD STREET, SUITE 425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "773-819-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "KIRK",
        "middle_name": "REMON",
        "name_prefix": "Mr.",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "01YP2500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Ridder, LPC
• Kristin Ridder, PHD
• Paige L Ridder, OTR
• Riddhi J Desai DMD PLLC
• Carrah Rose Riddle, LCSW
• Ride Ez
• Amber Rideout, DNP, CNM
• Ridge Dental Center
• Ridgeview Rehab & Nursing Center LLC
• Ridgeview Rehab & Nursing Center, LLC (Ridgeview Rehab & Nursing Center)

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.