Individual provider Active NPI

Brenda Riley, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Richmond, TX
National Provider Identifier
1679109268
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
711 S 11TH St Ste M
Richmond, TX 77469-3387
Phone
(409) 658-8384
NPI assigned
Mar 16, 2020
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

711 S 11TH St Ste M
Richmond, TX 77469-3387

Mailing address

2527 S 11TH St
Niles, MI 49120-4747
Phone (269) 262-1815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260112000153 TX Practitioner - Mental Health Counselor 2062901432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4220 Cartwright Rd
Suite 303
Missouri City, TX 77459-2449

7547 Summerdale Dr
Rosenberg, TX 77469-4629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dutch-Will Assessment Group LLC Addiction (Substance Use Disorder) CurrentSince Jan 6, 2026 Accepting new patients
Dutch-Will Assessment Group LLC Addiction (Substance Use Disorder) CurrentSince May 21, 2023 Accepting new patients
Adapt Foundation Inc PastSince Mar 1, 2020 Accepting new patients

Locations

711 S 11th St
Ste M
Richmond, TX 77469
Phone (409) 658-8384

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1679109268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204747",
            "telephone_number": "269-262-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S 11TH ST STE M",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693387",
            "telephone_number": "409-658-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "BRENDA",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.