Active NPI
Roger Riley, LMHC, LCPC
- Mental Health Counselor
- Annapolis, MD
National Provider Identifier
1679786388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15872
- Practice address
- 5 Oak CT
Annapolis, MD 21401-7017 - Phone
- (443) 310-8753
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC2042 | MD | |
| Mental Health Counselor | 101YM0800X | MH15872 | FL | Primary |
Addresses
Primary practice location
5 Oak CT
Annapolis, MD 21401-7017
Mailing address
612 NE 22ND Dr
Wilton Manors, FL 33305-2118
Phone (443) 310-8753
Other practice location 1
612 NE 22nd Dr
Wilton Manors, FL 33305-2118
Phone (443) 310-8753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 Oak CT
Annapolis, MD 21401-7017
Phone (410) 266-3040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH15872 | FL | MD | Mental Health Counselor |
| LC2042 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventions, LLC | Current | Accepting new patients | |
| Interventions-FL | Mental Health | Current | Accepting new patients |
| Interventions, LLC | Past | Accepting new patients | |
| Interventions, LLC | Past | Accepting new patients |
Locations
5 Oak Ct
Annapolis, MD 21401
Phone (410) 266-3040
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.
-
- Professional Counselor
- Annapolis, MD
- NPI 1780836544
-
- Adult Mental Health Clinic/Center
- Wilton Manors, FL
- NPI 1144066234
-
- Adult Mental Health Clinic/Center
- Annapolis, MD
- NPI 1801306030
-
- Adult Mental Health Clinic/Center
- Annapolis, MD
- NPI 1912417213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1679786388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 NE 22ND DR",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333052118",
"telephone_number": "443-310-8753",
"fax_number": "443-378-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 OAK CT",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017017",
"telephone_number": "443-310-8753"
}
],
"practiceLocations": [
{
"address_1": "612 NE 22nd Dr",
"address_purpose": "LOCATION",
"city": "Wilton Manors",
"state": "FL",
"postal_code": "333052118",
"country_code": "US",
"telephone_number": "443-310-8753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "ROGER",
"credential": "LMHC, LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC2042",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.