Active NPI
Jill L Riley, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1245338466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1839
- Practice address
- 5473 S Buckskin Pass Dr
Colorado Springs, CO 80917-2762 - Phone
- (719) 391-9991
- Fax
- (719) 391-9990
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1839 | CO | Primary |
Addresses
Primary practice location
5473 S Buckskin Pass Dr
Colorado Springs, CO 80917-2762
Mailing address
2910 N Powers Blvd # 305
Colorado Springs, CO 80922-2801
Phone (719) 337-9696
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1839 | CO | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1245338466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N POWERS BLVD # 305",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809222801",
"telephone_number": "719-337-9696",
"fax_number": "197-362-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5473 S BUCKSKIN PASS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809172762",
"telephone_number": "719-391-9991",
"fax_number": "719-391-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JILL",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.