Sara Jane Riley, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4972 Issued in FL

Practice address

397 Palm Coast Pkwy SW Unit 5
Palm Coast, FL 32137-4777

Phone

(386) 986-2222

Fax

(386) 986-2200

NPI assigned

Jan 1, 2007

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 7, 2025 through Mar 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1891852935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRIGADOON LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 PALM COAST PKWY SW UNIT 5",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374777",
            "telephone_number": "386-986-2222",
            "fax_number": "386-986-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SARA",
        "middle_name": "JANE",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Richards, DC
• Rhonda Richardson, PMHNP-BC
• Richard S Richter, R.PH
• Rides Taxi Service LLC
• Sven Riebensahm, PTA
• Sara Yvonne Riney, PHARMD
• Jared Tristan Ritter, M.D.
• Mariana Alejandra Rivera Rodriguez, MD
• Matthew Rivera
• Miguel Angel Rivera, LMHC

• Mental Health Counselor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.