Tonya McBroom Riley, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2979 Issued in LA

Practice address

5902 Buncombe Rd
Shreveport, LA 71129-4004

Phone

(318) 670-8898

Fax

(318) 300-3772

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1932246360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E WASHINGTON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043821",
            "telephone_number": "318-393-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 BUNCOMBE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711294004",
            "telephone_number": "318-670-8898",
            "fax_number": "318-300-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "TONYA",
        "middle_name": "MCBROOM",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "979",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Riggs
• Right Turn, LLC
• Riley Physical Therapy, Inc
• Dicy Riley
• Jason Riley, MPT, ATC, LAT, CKTP
• Troquel Riley
• Adam Zachary Rinaudo
• Amy L Rinder, OTR/CHT
• Theresa L Rinderle, MD
• Shane Michael Rinehart, DO

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.