Individual provider Active NPI

Jaime Neal-Riddle

  • Mental Health Counselor
  • Oil City, PA
National Provider Identifier
1770977894
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC010993
Practice address
815 Grandview Rd
Oil City, PA 16301-2077
Phone
(814) 676-5614
NPI assigned
Mar 26, 2015
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC010993 PA
Mental Health Counselor 101YM0800X PC010993 Primary

Addresses

Primary practice location

815 Grandview Rd
Oil City, PA 16301-2077

Mailing address

687 Mercer Rd
Franklin, PA 16323-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240119003130 PA Practitioner - Mental Health Counselor 3678925146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Counseling Center, Inc.Group PAC ID 8729026869, 7 clinicians

Practice addresses (Care Compare)

815 Grandview Rd
Oil City, PA 16301-2077
Phone (814) 676-5614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Counseling Center, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Regional Counseling Center, Inc. PastSince Jan 2, 2024 Accepting new patients

Locations

150 Prospect Ave
Ste 102
Franklin, PA 16323
Phone (814) 432-3320

815 Grandview Rd
Oil City, PA 16301
Phone (814) 676-5614

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1770977894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 MERCER RD",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163234617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 GRANDVIEW RD",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012077",
            "telephone_number": "814-676-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL-RIDDLE",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010993",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "PC010993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oil City, PA

Sources for this page

Verify at the official NPI Registry.