Individual provider Active NPI

Katheryne Riffle

  • Mental Health Counselor
  • Tontitown, AR
National Provider Identifier
1285107144
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1345 E Henri de Tonti Blvd Ste C
Tontitown, AR 72762-5347
Phone
(479) 633-7547
Fax
(479) 595-8969
NPI assigned
Jan 3, 2019
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1345 E Henri de Tonti Blvd Ste C
Tontitown, AR 72762-5347

Mailing address

1345 E Henri de Tonti Blvd Ste C
Tontitown, AR 72762-5347
Phone (315) 402-6427

Other practice location 1

1 Washington St
Taunton, MA 02780-3960
Phone (508) 828-9116 ext. 8482

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

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1285107144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E HENRI DE TONTI BLVD STE C",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727625347",
            "telephone_number": "315-402-6427",
            "fax_number": "479-595-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E HENRI DE TONTI BLVD STE C",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727625347",
            "telephone_number": "479-633-7547",
            "fax_number": "479-595-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Washington St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803960",
            "country_code": "US",
            "telephone_number": "508-828-9116 x8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFFLE",
        "first_name": "KATHERYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tontitown, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.