Individual provider Active NPI

Rebecca Jane Riley, PH.D.

  • Counseling Psychologist
  • Omaha, NE
National Provider Identifier
1780998013
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
895 Issued in NE
Practice address
8317 Cass St
Omaha, NE 68114-3529
Phone
(402) 981-1017
Fax
(844) 877-1903
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06748 IA
Counseling Psychologist 103TC1900X 895 NE Primary

Addresses

Primary practice location

8317 Cass St
Omaha, NE 68114-3529

Mailing address

8317 Cass St
Omaha, NE 68114-3529
Phone (402) 981-1017

Other practice location 1

101 Nursing Building
Iowa City, IA 52242-1121
Phone (319) 335-7001

Other practice location 2

101 Nursing Building
Iowa City, IA 52242-1121
Phone (319) 335-7001

Other practice location 3

8317 Cass St
Omaha, NE 68114-3529
Phone (402) 981-1017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160516001614 NE Practitioner - Clinical Psychologist 5991997066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2834 S 87TH Ave
Omaha, NE 68124-3047
Phone (402) 235-6059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
06748IAMDClinical Social Worker
895NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca J Riley Psychological Services LLC CurrentSince Aug 5, 2022 Accepting new patients

Locations

8031 W Center Rd
Ste 310
Omaha, NE 68124
Phone (402) 981-2017

2834 S 87th Ave
Omaha, NE 68124
Phone (402) 218-1943

Organizations & group practices 1

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780998013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143529",
            "telephone_number": "402-981-1017",
            "fax_number": "844-877-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 CASS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143529",
            "telephone_number": "402-981-1017",
            "fax_number": "844-877-1903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Nursing Building",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421121",
            "country_code": "US",
            "telephone_number": "319-335-7001",
            "fax_number": "319-335-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Nursing Building",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421121",
            "country_code": "US",
            "telephone_number": "319-335-7001",
            "fax_number": "319-335-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8317 Cass St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681143529",
            "country_code": "US",
            "telephone_number": "402-981-1017",
            "fax_number": "844-877-1903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06748",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NE",
            "license": "895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.