Individual provider Active NPI

Cabrina Marie Riggio, LMHC, CASAC

  • Mental Health Counselor
  • Medford, NY
National Provider Identifier
1386193639
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007482 Issued in NY
Practice address
3251 Route 112
BLDG 9, Suite 2
Medford, NY 11763-1446
Phone
(631) 451-6007
NPI assigned
Sep 28, 2016
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 30618 NY
Mental Health Counselor 101YM0800X 007482 NY Primary

Addresses

Primary practice location

3251 Route 112
BLDG 9, Suite 2
Medford, NY 11763-1446

Mailing address

91 Tremont Ave
Medford, NY 11763-3867
Phone (631) 793-9354

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
30618NYMDAddiction (Substance Use Disorder) Counselor
007482NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1386193639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 TREMONT AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633867",
            "telephone_number": "631-793-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 ROUTE 112",
            "address_2": "BLDG 9, SUITE 2",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631446",
            "telephone_number": "631-451-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGIO",
        "first_name": "CABRINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "30618",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.