Individual provider Active NPI

Cori Riley, LPC-A

  • Mental Health Counselor
  • Lewisville, TX
National Provider Identifier
1518609700
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
85397 Issued in TX
Practice address
405 Hwy 121 Byp Ste A250
Lewisville, TX 75067-4183
Phone
(940) 280-3700
NPI assigned
Apr 8, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 85397 TX Primary

Addresses

Primary practice location

405 Hwy 121 Byp Ste A250
Lewisville, TX 75067-4183

Mailing address

405 Hwy 121 Byp Ste A250
Lewisville, TX 75067-4183
Phone (940) 280-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.journeytogracecounseling.com Direct

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
85397TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Grace Counseling PLLC Mental Health Current Accepting new patients
Beyond the Concrete Counseling, LLC Mental Health Current Accepting new patients

Locations

405 State Highway 121 Byp
Ste A250
Lewisville, TX 75067
Phone (940) 784-3310

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1518609700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HWY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "940-280-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HWY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "940-280-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CORI",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.journeytogracecounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "405 Hwy 121 Byp Ste A250",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750674183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.