Individual provider Active NPI

Phenaysza Richele Riley

  • Professional Counselor
  • Camden, NJ
National Provider Identifier
1265322069
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01167800 Issued in NJ
Practice address
1417 Dayton St
Camden, NJ 08104-2017
Phone
(856) 236-9010
NPI assigned
Jul 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00642000 NJ
Professional Counselor 101YP2500X 37PC01167800 NJ Primary

Addresses

Primary practice location

1417 Dayton St
Camden, NJ 08104-2017

Mailing address

1417 Dayton St
Camden, NJ 08104-2017
Phone (856) 236-9010

Other practice location 1

1080 N Delaware Ave Fl 6
Philadelphia, PA 19125-4330
Phone (215) 496-0707

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
37AC00642000NJMDCounselor
37PC01167800NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1265322069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 DAYTON ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081042017",
            "telephone_number": "856-236-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 DAYTON ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081042017",
            "telephone_number": "856-236-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 N Delaware Ave Fl 6",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191254330",
            "country_code": "US",
            "telephone_number": "215-496-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "PHENAYSZA",
        "middle_name": "RICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00642000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01167800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.