B Riley House

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

B RILEY HOUSE

Practice address

1420 SW 1St St
Miami, FL 33135-2203

Phone

(786) 620-8008

NPI assigned

Mar 7, 2024

Last updated

Mar 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael Antonio CorreaNPI 1154835007

Title

Executive Director

Phone

(216) 417-4831

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

B Riley House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• B. Riley Sober House

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1124592894
  NPD tax ID
• B. Riley Sober House

  dba B. Riley House

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1508557190
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael Antonio Correa Jr., LCDC III, CAP, ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1154835007
  Authorized official Same address or phone

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1285492991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352203",
            "telephone_number": "786-620-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352203",
            "telephone_number": "786-620-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B RILEY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-417-4831"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.