Active NPI
Risley Linder Jr., BCBA
- Behavior Analyst
- Columbia, SC
National Provider Identifier
1720600661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-26986
- Practice address
- 2003 Greene St Apt 105
Columbia, SC 29205-1638 - Phone
- (803) 467-2996
- NPI assigned
- May 14, 2020
- Last updated
- May 14, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | WP8917 | SC | |
| Behavior Analyst | 103K00000X | 1-17-26986 | NU | Primary |
Addresses
Primary practice location
2003 Greene St Apt 105
Columbia, SC 29205-1638
Mailing address
PO Box 5502
Columbia, SC 29250-5502
Phone (803) 467-2996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WP8917 | Medicaid | SC | |
| 1-17-26986 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ley@crescentbehavioralhealth.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| WP8917 | SC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Behavioral Health Services, LLC. | Behavior Analyst | Current | Accepting new patients |
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.
-
- Behavior Analyst
- Columbia, SC
- NPI 1679325765
-
- Professional Counselor
- Columbia, SC
- NPI 1891407862
-
- Early Intervention Provider Agency
- Columbia, SC
- NPI 1407433303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1720600661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5502",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292505502",
"telephone_number": "803-467-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 GREENE ST APT 105",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292051638",
"telephone_number": "803-467-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDER",
"first_name": "RISLEY",
"name_suffix": "Jr.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "WP8917",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-17-26986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WP8917",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-17-26986",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ley@crescentbehavioralhealth.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2003 Greene St Apt 105",
"city": "Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "292051638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.