Individual provider Active NPI

Andrew Riehl

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1356869697
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A12454 Issued in NC
Practice address
5917 Oleander Dr Ste 202
Wilmington, NC 28403-4709
Phone
(910) 769-9691
Fax
(910) 239-8373
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A12454 NC Primary

Addresses

Primary practice location

5917 Oleander Dr Ste 202
Wilmington, NC 28403-4709

Mailing address

9B Columbia St E
Wrightsville Beach, NC 28480-2841
Phone (910) 386-8761

Other practice location 1

725 Wellington Ave
Wilmington, NC 28401-7652
Phone (910) 392-4881

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
A12454NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1356869697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9B COLUMBIA ST E",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284802841",
            "telephone_number": "910-386-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 OLEANDER DR STE 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034709",
            "telephone_number": "910-769-9691",
            "fax_number": "910-239-8373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017652",
            "country_code": "US",
            "telephone_number": "910-392-4881",
            "fax_number": "910-392-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEHL",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.