Deidra Nicole Riley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12284 Issued in SC

Practice address

4408 Forest Dr Ste 102
Columbia, SC 29206-3162

Phone

(949) 282-9667

NPI assigned

Jul 14, 2025

Last updated

Jul 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Counseling and Family Enrichment LLC

  • Counselor
  • Columbia, SC
  • NPI 1922990621
  NPD Authorized official

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1255222428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 FOREST DR STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063162",
            "telephone_number": "839-246-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 FOREST DR STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063162",
            "telephone_number": "949-282-9667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 W Church St",
            "address_purpose": "LOCATION",
            "city": "Batesburg",
            "state": "SC",
            "postal_code": "290062004",
            "country_code": "US",
            "telephone_number": "839-246-7989",
            "fax_number": "839-213-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DEIDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "12284",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "12284",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "12284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Riles, RD
• Riley Orthopedic and Medical Massage, LLC
• Veola Rasheena Riley-Amaker, APRN
• Annette I Riley X, DMD
• Ashlynn Riley
• Francimer Riley
• Howard Avery Riley, RRT
• Isabelle Marie Riley, MD
• Kiana Danyelle Riley, LISW-CP
• Laketa D Riley, APRN

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.