Individual provider Active NPI

Elissa Riach, LPC

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1649956830
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90011 Issued in TX
Practice address
7345 E US Highway 80
Longview, TX 75605-6757
Phone
(903) 668-2173
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90011 TX Primary

Addresses

Primary practice location

7345 E US Highway 80
Longview, TX 75605-6757

Mailing address

7109 John McCain Rd
Colleyville, TX 76034-6803
Phone (817) 781-0395

Other practice location 1

1664 Keller Pkwy Ste 102
Keller, TX 76248-3760
Phone (817) 601-5540

Other practice location 2

620 Stoneglen Dr Ste B
Keller, TX 76248-3625
Phone (817) 562-8800

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
90011TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Clinics CurrentSince Jul 1, 2023 Accepting new patients
Methodist Children'S Home Professional Current Accepting new patients
Methodist Children'S Home Current Accepting new patients
Redefine LLC PastSince Jul 16, 2023 Accepting new patients

Locations

1664 Keller Pkwy
Ste 102
Keller, TX 76248
Phone (817) 492-5105

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1649956830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 JOHN MCCAIN RD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346803",
            "telephone_number": "817-781-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 E US HIGHWAY 80",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756056757",
            "telephone_number": "903-668-2173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1664 Keller Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483760",
            "country_code": "US",
            "telephone_number": "817-601-5540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Stoneglen Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483625",
            "country_code": "US",
            "telephone_number": "817-562-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIACH",
        "first_name": "ELISSA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.