Individual provider Active NPI

Latisha Riley, LPCA

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1801233275
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A10102 Issued in NC
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

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A10102NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.