Individual provider Active NPI

Riley Marie Bastien, M.A, APCC11836

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1427680719
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC11836 Issued in CA
Practice address
8775 Aero Dr Ste 333
San Diego, CA 92123-1756
Phone
(858) 384-7035
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X APCC11836 CA Primary

Addresses

Primary practice location

8775 Aero Dr Ste 333
San Diego, CA 92123-1756

Mailing address

8775 Aero Dr Ste 333
San Diego, CA 92123-1756
Phone (858) 384-7035

Other practice location 1

900 N Cuyamaca St Ste 110
El Cajon, CA 92020-1865
Phone (619) 448-0420

Other practice location 2

2925 Dean Pkwy Ste 300
Minneapolis, MN 55416-7700
Phone (763) 587-1278

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APCC11836CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation, Inc. PastSince Aug 28, 2022 Accepting new patients
Community Research Foundation Inc PastSince Jun 1, 2022 Accepting new patients
Lovaas Institute for Early Intervention - Midwest, Inc. PastSince Feb 1, 2020 Accepting new patients
Community Research Foundation Inc PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1427680719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 AERO DR STE 333",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231756",
            "telephone_number": "858-384-7035",
            "fax_number": "858-384-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 AERO DR STE 333",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231756",
            "telephone_number": "858-384-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Cuyamaca St Ste 110",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920201865",
            "country_code": "US",
            "telephone_number": "619-448-0420",
            "fax_number": "619-448-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Dean Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554167700",
            "country_code": "US",
            "telephone_number": "763-587-1278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "RILEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A, APCC11836",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC11836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.