Individual provider Active NPI

Suzanne Elizabeth Riley

  • Counselor
  • Norfolk, NE
National Provider Identifier
1225372121
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
9825 Issued in NE
Practice address
900 W Norfolk Ave
Ste 200
Norfolk, NE 68701-5006
Phone
(402) 370-3140
Fax
(402) 370-3373
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9825 NE Primary

Addresses

Primary practice location

900 W Norfolk Ave
Ste 200
Norfolk, NE 68701-5006

Mailing address

900 W Norfolk Ave
Ste 200
Norfolk, NE 68701-5006
Phone (402) 370-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240111001942 NE Practitioner - Mental Health Counselor 6406207711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1811 W 2ND St
Suite 330
Grand Island, NE 68803-5464
Phone (308) 252-3179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9825NEMDCounselor
1784NEMDMental Health Counselor
1149NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Riley Counseling, LLC CurrentSince Dec 13, 2023 Accepting new patients

Locations

1811 W 2nd St
Ste 330
Grand Island, NE 68803
Phone (308) 252-3179

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1225372121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W NORFOLK AVE",
            "address_2": "STE 200",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015006",
            "telephone_number": "402-370-3140",
            "fax_number": "402-370-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W NORFOLK AVE",
            "address_2": "STE 200",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015006",
            "telephone_number": "402-370-3140",
            "fax_number": "402-370-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.