Individual provider Active NPI

Bernis Riley, PSY.D,, LPC-S

  • Professional Counselor
  • Bedford, TX
National Provider Identifier
1255728127
Registry record updated Apr 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63167 Issued in TX
Practice address
405 Harwood Rd
Bedford, TX 76021-4151
Phone
(817) 808-2606
NPI assigned
Apr 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63167 TX Primary

Addresses

Primary practice location

405 Harwood Rd
Bedford, TX 76021-4151

Mailing address

6316 Tosca Dr
Haltom City, TX 76180-8028
Phone (817) 808-2606

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

LicenseStateTypeSpecialty
63167TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Remark Enterprises Professional Current Accepting new patients

Locations

405 Harwood Rd
Bedford, TX 76021
Phone (682) 292-8710

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": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429315200000",
    "number": "1255728127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 TOSCA DR",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761808028",
            "telephone_number": "817-808-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214151",
            "telephone_number": "817-808-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "BERNIS",
        "name_prefix": "Dr.",
        "credential": "PSY.D,, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2015-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; 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.