Individual provider Active NPI

Debra Dee Riley, MFT

  • Mental Health Counselor
  • Mission Viejo, CA
National Provider Identifier
1851756225
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT45262 Issued in CA
Practice address
24800 Chrisanta Dr
Suite 220
Mission Viejo, CA 92691-4833
Phone
(805) 886-6921
Fax
(949) 481-4145
NPI assigned
Dec 29, 2015
Last updated
Dec 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT45262 CA Primary

Addresses

Primary practice location

24800 Chrisanta Dr
Suite 220
Mission Viejo, CA 92691-4833

Mailing address

24800 Chrisanta Dr
Suite 220
Mission Viejo, CA 92691-4833
Phone (805) 886-6921

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
LMFT45262CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1851756225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 CHRISANTA DR",
            "address_2": "SUITE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914833",
            "telephone_number": "805-886-6921",
            "fax_number": "949-481-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 CHRISANTA DR",
            "address_2": "SUITE 220",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914833",
            "telephone_number": "805-886-6921",
            "fax_number": "949-481-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DEBRA",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT45262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.