TIM EDWARD RILEY (NPI# 1306932504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306932504 |
| Entity Type | Individual |
| Full Name | TIM EDWARD RILEY |
| Credential | PCC,LICDC |
| Practice Address |
340 S Broadway St Akron OH 44308-1529 |
| Practice Telephone | 3302533100 |
| Practice Fax Number | 3302535248 |
| Mailing Telephone | 3302533100 |
| Mailing Fax Number | 3302535248 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | E0002021 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386721173 | Tim R Riley | Psychologist | 4501 S 70th St, Suite 120, Lincoln, NE 68516-4276 | 2006-11-01 |
| Street Address |
340 S BROADWAY ST |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797490 | Stacey Sue Kline | Pharmacist | 340 S Broadway St, Akron, OH 44308-1529 | 2005-11-19 |
| 1235736844 | Stephanie Kaye Walker | Counselor | 340 S Broadway St, Akron, OH 44308-1529 | 2020-10-06 |
| 1700499829 | Kristen Shaughnessy | Registered Nurse | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-28 |
| 1720691942 | Adam Christopher Brown | Registered Nurse | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-27 |
| 1356953079 | Kiarra King | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2020-08-24 |
| 1245849520 | Cheyenne Phillips | Case Manager/Care Coordinator | 340 S Broadway St, Akron, OH 44308-1529 | 2020-07-23 |
| 1578188009 | Jade Branch | Counselor | 340 S Broadway St, Akron, OH 44308-1529 | 2020-06-10 |
| 1295386043 | Rachael Dabkowski | Psychologist | 340 S Broadway St, Akron, OH 44308-1529 | 2019-09-24 |
| 1053961284 | Samsara Soto | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2019-09-19 |
| 1891342770 | Jusiah Prowell | Student in an Organized Health Care Education/Training Program | 340 S Broadway St, Akron, OH 44308-1529 | 2019-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966469 | Veronda L Jones | Counselor | 784 Orlando Ave, Akron, OH 44320-1855 | 2020-06-15 |
| 1952959397 | Drena Victoria Mongo | Counselor | 455 Spicer St Apt A, Akron, OH 44311-1826 | 2019-08-28 |
| 1508414228 | Cherri M Colbert | Counselor | 308 N Cleveland Massillon Rd Lowr Level, Akron, OH 44333-9302 | 2019-08-27 |
| 1346731668 | Christal Carpenter | Counselor | 1044 Winton Ave, Akron, OH 44320-3628 | 2018-05-22 |
| 1689106569 | Laura E Delsignore | Counselor | 1653 Merriman Rd Ste 114, Akron, OH 44313 | 2017-03-30 |
| 1104367770 | Danny Ferguson | Counselor | 1653 Merriman Rd Ste 200, Akron, OH 44313-5275 | 2017-03-16 |
| 1659810125 | Here for You Enterprise Inc | Counselor | 333 S Main St Ste 511, Akron, OH 44308-1222 | 2017-02-17 |
| 1770926438 | Molly Daugherty | Counselor | 388 S Main St Ste 205, Akron, OH 44311-1035 | 2013-04-12 |
| 1700154838 | Ella Dixon | Counselor | 634 E Buchtel Ave, Suite 106, Akron, OH 44304-1973 | 2011-12-04 |
| 1003098674 | James M Athans | Counselor | 212 East Exchange St, Greenleaf Family Center, Akron, OH 44304-1273 | 2007-12-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.