Individual provider Active NPI

Johnni Riddar, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Galveston, TX
National Provider Identifier
1700739075
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17670 Issued in TX
Practice address
4700 Broadway St Ste 300
Galveston, TX 77551-4241
Phone
(346) 287-2520
NPI assigned
Feb 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 17670 TX Primary

Addresses

Primary practice location

4700 Broadway St Ste 300
Galveston, TX 77551-4241

Mailing address

1726 Broadway St Apt D19
Galveston, TX 77550-4951
Phone (346) 287-2520

Other practice location 1

4444 W Main St
League City, TX 77573-1737
Phone (409) 763-2373

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
17670TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1700739075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 BROADWAY ST APT D19",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504951",
            "telephone_number": "346-287-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BROADWAY ST STE 300",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775514241",
            "telephone_number": "346-287-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4444 W Main St",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775731737",
            "country_code": "US",
            "telephone_number": "409-763-2373",
            "fax_number": "409-978-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDAR",
        "first_name": "JOHNNI",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "17670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.