Active NPI
Dawn Riley, MFT
- Counselor
- Gloucester, VA
National Provider Identifier
1366063877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0717001556
- Practice address
- 6699 Fox Centre Pkwy
Gloucester, VA 23061-6134 - Phone
- (804) 832-0747
- NPI assigned
- May 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0717001556 | VA | Primary |
Addresses
Primary practice location
6699 Fox Centre Pkwy
Gloucester, VA 23061-6134
Mailing address
6699 Fox Centre Pkwy
Gloucester, VA 23061-6134
Phone (804) 832-0747
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0717001556 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1366063877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6699 FOX CENTRE PKWY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230616134",
"telephone_number": "804-832-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6699 FOX CENTRE PKWY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230616134",
"telephone_number": "804-832-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "DAWN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2021-02-26",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "VA",
"license": "0717001556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.