Active NPI
Kellie Rilling, LPC
- Mental Health Counselor
- Bossier City, LA
National Provider Identifier
1598534166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7167
- Practice address
- 1613 Jimmie Davis Hwy Ste 200
Bossier City, LA 71112-4557 - Phone
- (318) 523-0875
- NPI assigned
- Dec 25, 2023
- Sex
- Female
- 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 | 7167 | LA | Primary |
Addresses
Primary practice location
1613 Jimmie Davis Hwy Ste 200
Bossier City, LA 71112-4557
Mailing address
1613 Jimmie Davis Hwy Ste 200
Bossier City, LA 71112-4557
Phone (318) 523-0875
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7167 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoring Light Counseling, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703462400000",
"number": "1598534166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 JIMMIE DAVIS HWY STE 200",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124557",
"telephone_number": "318-523-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 JIMMIE DAVIS HWY STE 200",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124557",
"telephone_number": "318-523-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILLING",
"first_name": "KELLIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-25",
"last_updated": "2023-12-25",
"certification_date": "2023-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "7167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.