Active NPI
William Patrick Riley, MA
- Mental Health Counselor
- Longwood, FL
National Provider Identifier
1437469517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8908
- Practice address
- 665 W Warren Ave
Longwood, FL 32750-4004 - Phone
- (321) 287-8089
- NPI assigned
- Oct 7, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8908 | FL | Primary |
Addresses
Primary practice location
665 W Warren Ave
Longwood, FL 32750-4004
Mailing address
2477 Scottville Ave
Deltona, FL 32725-2224
Phone (321) 287-8089
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH8908 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1437469517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2477 SCOTTVILLE AVE",
"city": "DELTONA",
"state": "FL",
"postal_code": "327252224",
"telephone_number": "321-287-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 W WARREN AVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504004",
"telephone_number": "321-287-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "WILLIAM",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-07",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.