Individual provider Active NPI

Riley Rose Lisa, LMHC-D

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1962195339
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
307 W 38TH St
New York, NY 10018-2913
Phone
(212) 367-1068
NPI assigned
May 31, 2023
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 Primary

Addresses

Primary practice location

307 W 38TH St
New York, NY 10018-2913

Mailing address

7320 Penelope Ave
Middle Village, NY 11379-1827
Phone (917) 445-7946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203003675 NY Practitioner - Mental Health Counselor 7113410564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Mercy College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gay Mens Health Crisis IncGroup PAC ID 2466763107, 7 clinicians

Practice addresses (Care Compare)

307 W 38TH St
FRNT 8
New York, NY 10018-2913
Phone (212) 367-1237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gay Men's Health Crisis, Inc. CurrentSince Nov 14, 2025 Accepting new patients

Locations

307 W 38th St
New York, NY 10018
Phone (212) 367-1000

307 W 38th St
Frnt 8
New York, NY 10018
Phone 21236710001068

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1962195339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 PENELOPE AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791827",
            "telephone_number": "917-445-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182913",
            "telephone_number": "212-367-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISA",
        "first_name": "RILEY",
        "middle_name": "ROSE",
        "credential": "LMHC-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.