NPIMap

Organization Active NPI

Tracy Riley Counseling LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1306234950
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRACY RILEY COUNSELING LLC
Practice address
3410 Kori Rd
Jacksonville, FL 32257-5454
Phone
(904) 704-2527
Fax
(866) 384-3669
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Tracy M RileyNPI 1679762553
Title
Owner
Phone
(904) 704-2527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3410 Kori Rd
Jacksonville, FL 32257-5454

Mailing address

3545 Saint Johns Bluff Rd S Unit 1-252
Jacksonville, FL 32224-2682
Phone (904) 704-2527

National Provider Directory

National Provider Directory
Tax ID family
Tracy Riley Counseling LLC3 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.

Locations

11555 Central Pkwy
Ste 704
Jacksonville, FL 32224
Phone (904) 704-2527

3545 Saint Johns Bluff Rd S
Unit 1252
Jacksonville, FL 32224

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1306234950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 SAINT JOHNS BLUFF RD S UNIT 1-252",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242682",
            "telephone_number": "904-704-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 KORI RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575454",
            "telephone_number": "904-704-2527",
            "fax_number": "866-384-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY RILEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-704-2527"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.