Individual provider Active NPI

Kimberly Jo Riley, LMFT CSAC ICS

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1760723712
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1014 Issued in WI
Practice address
313 Price PL Ste 208
Madison, WI 53705-3262
Phone
(608) 571-3866
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15970-132 WI
Marriage & Family Therapist 106H00000X 1014 WI Primary

Addresses

Primary practice location

313 Price PL Ste 208
Madison, WI 53705-3262

Mailing address

313 Price PL Ste 208
Madison, WI 53705-3262
Phone (608) 571-3866

Other names 1

  • Kimberly J Hutter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240322002416 WI Practitioner - Marriage and Family Therapist 0042657280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empower Recovery LLCGroup PAC ID 6305292574, 6 clinicians

Practice addresses (Care Compare)

313 Price PL
Suite 208
Madison, WI 53705-3262
Phone (608) 571-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15970-132WIMDAddiction (Substance Use Disorder) Counselor
1014WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Recovery LLC CurrentSince Feb 15, 2024 Accepting new patients
Janesville Psychiatric Clinic Past Accepting new patients
Janesville Psychiatric Clinic Main Inc Addiction (Substance Use Disorder) PastSince Apr 18, 2011 Accepting new patients

Locations

313 Price Pl
Ste 208
Madison, WI 53705
Phone (608) 571-3866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1760723712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PRICE PL STE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053262",
            "telephone_number": "608-571-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PRICE PL STE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053262",
            "telephone_number": "608-571-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "credential": "LMFT CSAC ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15970-132",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HUTTER",
            "middle_name": "J",
            "credential": "LMFT CSAC ICS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.