Individual provider Active NPI

Amy Lennon Riggio

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1669566600
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61107243 Issued in WA
Practice address
8284 28TH CT NE Ste a
Lacey, WA 98516-7161
Phone
(360) 915-3221
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61027537 WA
Mental Health Counselor 101YM0800X MC61107243 WA Primary
Counselor 101Y00000X CG61027983 WA

Addresses

Primary practice location

8284 28TH CT NE Ste a
Lacey, WA 98516-7161

Mailing address

5436 Yakima Ave Apt a
Tacoma, WA 98408-5642
Phone (206) 355-5537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113004134 WA Practitioner - Mental Health Counselor 0840724852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG61027983WAMDCounselor
CO61027537WAMDAddiction (Substance Use Disorder) Counselor
MC61107243WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Therapy Group PLLC Mental Health CurrentSince Sep 9, 2024 Accepting new patients
Comprehensive Mental Health Center of Tacoma-Pierce County PastSince Dec 1, 2019 Accepting new patients
Get in Touch Therapy Massage Therapist Past Accepting new patients

Locations

8284 28th Ct NE
Ste A
Lacey, WA 98516
Phone (360) 742-0418

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1669566600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 YAKIMA AVE APT A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984085642",
            "telephone_number": "206-355-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8284 28TH CT NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985167161",
            "telephone_number": "360-915-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGIO",
        "first_name": "AMY",
        "middle_name": "LENNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61027537",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61107243",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG61027983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.