Individual provider Active NPI

Autumn Riffe, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, OH
National Provider Identifier
1851043269
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC.162212 Issued in OH
Practice address
1550 Sheridan Dr Ste 302
Lancaster, OH 43130-1380
Phone
(740) 901-3046
NPI assigned
Jan 26, 2022
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162212 OH Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1550 Sheridan Dr Ste 302
Lancaster, OH 43130-1380

Mailing address

1550 Sheridan Dr Ste 302
Lancaster, OH 43130-1380
Phone (174) 090-1304

Other identifiers 1

IdentifierTypeStateIssuer
1851043269MedicaidOH

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
LICDC.162212OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Recovery, Inc Multi-Specialty Current Accepting new patients
Rise Up Recovery, Inc Addiction (Substance Use Disorder) CurrentSince Feb 1, 2022 Accepting new patients

Locations

1531 Monmouth Dr
Lancaster, OH 43130
Phone (516) 343-2772

1550 Sheridan Dr
Ste 302
Lancaster, OH 43130
Phone (740) 901-3040

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rurecoveryinc/r4/

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1851043269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR STE 302",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301380",
            "telephone_number": "174-090-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR STE 302",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301380",
            "telephone_number": "740-901-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFFE",
        "first_name": "AUTUMN",
        "credential": "LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162212",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851043269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.