Kristin Lisa Rieck, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C4635 Issued in OR

Practice address

2367 State St NE Ste 100
Salem, OR 97301-4505

Phone

(503) 505-9161

Fax

(503) 540-4097

NPI assigned

Nov 13, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael P Beaver LCSW Inc

  • Clinical Social Worker
  • Salem, OR
  • NPI 1194867382
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1891208815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 STATE ST NE SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-505-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 STATE ST NE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014505",
            "telephone_number": "503-505-9161",
            "fax_number": "503-540-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECK",
        "first_name": "KRISTIN",
        "middle_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Jo Riches, RN
• Krista Allen Richey, D.D.S., M.S.
• Janet Ann Rickman, M. S., L. P. C.
• Rebecca Ricoy, M.D.
• John Charles Riddell, CADC I
• Greer Riedl
• Michaela Lynn Riendeau
• Kaylee Marie Riesterer, PA-C
• Riffe Counseling LLC
• Arielle Riffe

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.