Raschelle Arlene Riley-Eaton

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4158 Issued in AL

Practice address

2033 W 1St St Ste 3
Gulf Shores, AL 36542-4447

Phone

(251) 597-0417

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Coastal Wellness LLC

  • Adult Mental Health Clinic/Center
  • Gulf Shores, AL
  • NPI 1497511828
  NPD Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1669014387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 W 1ST ST UNIT 241",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365478412",
            "telephone_number": "251-597-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W 1ST ST STE 3",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365424447",
            "telephone_number": "251-597-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY-EATON",
        "first_name": "RASCHELLE",
        "middle_name": "ARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "address_1": "2033 W 1st St Ste 3",
            "city": "Gulf Shores",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365424447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christian Reagan, DC
• Celeste Reeves, LCSW, LICSW
• Rehabcare Group East, LLC
• Lovine Kerron Reid, CNA
• Renal Treatment Centers-Southeast, LP.
• Brittany Roberts, RBT
• Marjorie Ann Claudette Robinson, LGSW
• Conor Jordan Rutledge, DMD
• Alixandra V Ryan, MD
• Elizabeth Marie Sapala, M.D.

• All providers in Gulf Shores, AL
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.