Deana Riley, L.P.C., C.P.C.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002029 Issued in GA

Practice address

130 Governors SQ Ste B
Peachtree City, GA 30269-4862

Phone

(770) 713-8023

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Center for Living Balance, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peachtree City, GA
  • NPI 1457876906
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1811084429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GOVERNORS SQ STE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694862",
            "telephone_number": "770-451-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GOVERNORS SQ STE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694862",
            "telephone_number": "770-713-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DEANA",
        "credential": "L.P.C., C.P.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "002029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "55-0872146",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE CENTER FOR LIVING BALANCE",
            "identifier": "1457876906",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revive Orthopedics Spine & Sports Medicine, Inc
• Leitricia Rhyne, LPC
• Richard C Lipovac OD PC
• Shania C. Richards
• Christopher Richart
• Rise Beyond Words LLC
• Robert S.Brooks DDS & Timothy J. Kaiglerdmd
• Beverly Roberts, D.M.D.
• James Reid Roberts III, D.M.D.
• Jerry M. Roberts, M.D.

• Professional Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.