Active NPI
Kathy Ann Riley, MFT-I
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1356543003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 115056
- Practice address
- 5870 Arlington Ave
Riverside, CA 92504-2037 - Phone
- (951) 683-6596
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF74967 | CA | |
| Marriage & Family Therapist | 106H00000X | 115056 | CA | Primary |
Addresses
Primary practice location
5870 Arlington Ave
Riverside, CA 92504-2037
Mailing address
5870 Arlington Ave
Riverside, CA 92504-2037
Phone (951) 683-6596
Other practice location 1
5628 E Slauson Ave
Commerce, CA 90040-2922
Phone (323) 480-9242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7511A | Medicaid | CA | |
| 7565A | Other | CA | OUTPATIENT MENTAL HEALTH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115056 | CA | MD | Marriage & Family Therapist |
| IMF74967 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1356543003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042037",
"telephone_number": "951-683-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042037",
"telephone_number": "951-683-6596"
}
],
"practiceLocations": [
{
"address_1": "5628 E Slauson Ave",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900402922",
"country_code": "US",
"telephone_number": "323-480-9242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "KATHY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MFT-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF74967",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "115056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7511A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTPATIENT MENTAL HEALTH",
"identifier": "7565A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.