Individual provider Active NPI

Jason Frank Riley, LPC

  • Mental Health Counselor
  • Lansing, MI
National Provider Identifier
1396119582
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015204 Issued in MI
Practice address
6639 Centurion Dr Ste 130
Lansing, MI 48917-8273
Phone
(517) 322-3050
Fax
(517) 709-7701
NPI assigned
Nov 25, 2015
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015204 MI Primary

Addresses

Primary practice location

6639 Centurion Dr Ste 130
Lansing, MI 48917-8273

Mailing address

2004 Cumberland Rd
Lansing, MI 48906-3718
Phone (616) 516-9059

Other practice location 1

2450 Delhi Commerce Dr Ste 9B
Holt, MI 48842-2193
Phone (517) 322-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302002078 MI Practitioner - Mental Health Counselor 7214419001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

812 E
812 E Jolly Rd., MI 48910-6818

812 E Jolly Rd
Suite 210
Lansing, MI 48910-6821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015204MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Authority Clinton Eaton Ingham Counties CurrentSince Jan 11, 2026 Accepting new patients
F&H Behavioral Health, PC CurrentSince May 1, 2020 Accepting new patients

Locations

2450 Delhi Commerce Dr
Ste 9B
Holt, MI 48842
Phone (517) 281-9745

6639 Centurion Dr
Ste 130
Lansing, MI 48917
Phone (517) 322-3050

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1396119582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489063718",
            "telephone_number": "616-516-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 CENTURION DR STE 130",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178273",
            "telephone_number": "517-322-3050",
            "fax_number": "517-709-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Delhi Commerce Dr Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488422193",
            "country_code": "US",
            "telephone_number": "517-322-3050",
            "fax_number": "517-709-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JASON",
        "middle_name": "FRANK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-25",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.