Active NPI
Christine Marie Riley, LPCA
- Professional Counselor
- Old Saybrook, CT
National Provider Identifier
1245922020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6283
- Practice address
- 237 Essex Rd
Old Saybrook, CT 06475-4306 - Phone
- (862) 377-9303
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 6283 | CT | Primary |
Addresses
Primary practice location
237 Essex Rd
Old Saybrook, CT 06475-4306
Mailing address
237 Essex Rd
Old Saybrook, CT 06475-4306
Phone (862) 377-9303
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6283 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1245922020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 ESSEX RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754306",
"telephone_number": "862-377-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 ESSEX RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064754306",
"telephone_number": "862-377-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "6283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.