Phillip Ray Riley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17938 Issued in TX

Practice address

6017 Reef Point LN Ste 115
Fort Worth, TX 76135-7005

Phone

(817) 455-2758

Fax

(817) 237-7351

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1881610723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 REEF POINT LN STE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357005",
            "telephone_number": "817-455-2758",
            "fax_number": "817-237-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 REEF POINT LN STE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357005",
            "telephone_number": "817-455-2758",
            "fax_number": "817-237-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077277",
            "country_code": "US",
            "telephone_number": "817-335-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "PHILLIP",
        "middle_name": "RAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Diane Riley, PHARMD
• Christopher J Riley, MD
• David M Riley, MD
• Michael Riley, MSW
• Patricia L Riley, LVN
• Carrie Rimato
• Debbie Rimerman, LBSW
• Cari Ann Goodyear Riney, MOTR/L
• Jordan Leigh Riney, PMHNP-BC
• Brooke Ann Ring, PTA

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.