Active NPI
Latisha Riley, LPCA
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1801233275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A10102
- Practice address
- 4436 Glengrove Rd
Raleigh, NC 27616-9082 - Phone
- (919) 622-3931
- NPI assigned
- May 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A10102 | NC | Primary |
Addresses
Primary practice location
4436 Glengrove Rd
Raleigh, NC 27616-9082
Mailing address
4436 Glengrove Rd
Raleigh, NC 27616-9082
Phone (919) 622-3931
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 |
|---|---|---|---|
| A10102 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Choice Inc | Professional | Current | Accepting new patients |
Locations
4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715
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": "1369440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1801233275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4436 GLENGROVE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276169082",
"telephone_number": "919-622-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4436 GLENGROVE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276169082",
"telephone_number": "919-622-3931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "LATISHA",
"name_prefix": "Mrs.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-25",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A10102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.