Individual provider Active NPI

Rachael Raney Riley Shultis, 101YP2500X

  • Professional Counselor
  • Charlottesville, VA
National Provider Identifier
1659230605
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015722 Issued in VA
Practice address
696 Berkmar Cir Ste 3B
Charlottesville, VA 22901-1464
Phone
(877) 566-9624
Fax
(804) 237-0321
NPI assigned
Jan 16, 2026
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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 0701015722 VA Primary

Addresses

Primary practice location

696 Berkmar Cir Ste 3B
Charlottesville, VA 22901-1464

Mailing address

1013 Linden Ave Apt M
Charlottesville, VA 22902-9022
Phone (877) 566-9624

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
0701015722VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1659230605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 LINDEN AVE APT M",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229029022",
            "telephone_number": "877-566-9624",
            "fax_number": "804-237-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 BERKMAR CIR STE 3B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "877-566-9624",
            "fax_number": "804-237-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY SHULTIS",
        "first_name": "RACHAEL",
        "middle_name": "RANEY",
        "credential": "101YP2500X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.