MEDICARE: MR. STEVEN RILEY SR. LPCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	11940	NC
2	101YM0800X	Mental Health Counselor	11940	NC

General Provider Information

NPI Number	:	1881066033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN RILEY SR. LPCA

Provider Business Mailing Address
First Line	:	528 VISTA DEL LAGO LN
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-5340
Country	:	US
Telephone Number	:	919-720-5196
Fax Number	:	919-276-8635

Provider Business Practice Location Address
First Line	:	3624 MELROSE DR.
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-3815
Country	:	US
Telephone Number	:	919-720-5196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	02/16/2026

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