Kristin M Rielly

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P139425 Issued in NY

Practice address

526 Old Liverpool Rd Ste 9
Liverpool, NY 13088-6285

Phone

(315) 453-3911

Fax

(315) 453-0197

NPI assigned

Jun 28, 2024

Last updated

Mar 16, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1205671435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W 3RD ST N",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 OLD LIVERPOOL RD STE 9",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886285",
            "telephone_number": "315-453-3911",
            "fax_number": "315-453-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELLY",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "37105",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P139425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colden Richards
• Cassandra Victoria Richardson
• Steven K Richardson, MS/CAS
• Jennifer Leigh Ridgeway, PHARM.D.
• Karen Ridgeway
• Lauris Sean Rigdon, PT
• Michael Colin Riley
• Ravyn N Rivera, ADVANCED CASAC
• Jennifer Robb, LMSW
• Robert D Zucker, DPM PC

• Mental Health Counselor in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.