Juanita L Riley, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4756 Issued in FL

Practice address

2917 N Pine Hills Rd
Orlando, FL 32808-3539

Phone

(407) 398-6676

Fax

(407) 291-1402

NPI assigned

Jan 23, 2009

Last updated

Jan 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Firm Foundation Mental Health

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1902828809
  Authorized official Same address or phone

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1639317001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 LIGHTHOUSE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081626",
            "telephone_number": "407-404-2357",
            "fax_number": "407-291-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083539",
            "telephone_number": "407-398-6676",
            "fax_number": "407-291-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JUANITA",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4756",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rigueros, DO
• Ricky W. Rike, CRNA
• Crystal Alexandria Riley, LCSW
• Daniel Riley Jr.
• Danielle Riley, PTA
• Kendra Leigh Riley, CCC-SLP
• Kieran Marie Riley
• Kimberly Riley, BS, PHARMD
• Michal Krudo Riley, APRN
• Nicollette Riley

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.