Carmen J Riley, M.ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701006505 Issued in VA

Practice address

15915 Canada Goose Loop
Woodbridge, VA 22191-5562

Phone

(571) 989-2927

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carmen J Ortiz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Zion Restoration Counseling Services

  • Professional Counselor
  • Alexandria, VA
  • NPI 1003334210
  NPD Authorized official

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1740489137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15915 CANADA GOOSE LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915562",
            "telephone_number": "571-989-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15915 CANADA GOOSE LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915562",
            "telephone_number": "571-989-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CARMEN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC14584",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "ORTIZ",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "M.ED, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Lee Richardson, MOT, OTR/L
• Ridgeview Internal Medicine
• James Justin Ridley, PHARMD
• Lorraine Dolores Riggers-Lassman, O.D.
• Zahra Rikan
• Matthew John Riley, LCSW-S
• Anota L Riman, BSN-RN
• Jasmine Rios, RBT
• Rising Tide Counseling PLLC
• Rita D. Wright D.M.D PLLC

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.