JEREMY A. RIDDLE (NPI# 1629303649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629303649 |
| Entity Type | Individual |
| Full Name | JEREMY A. RIDDLE |
| Credential | LPC |
| Practice Address |
1631 E 2nd St Ste E Austin TX 78702-4491 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5128043650 |
| Practice Fax Number | 5124760217 |
| Mailing Telephone | 5124724357 |
| Mailing Fax Number | 5127403134 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
64806 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535834 | Jeremy Riddle | Counselor | 455 Portland Ave, Gladstone, OR 97027-2452 | 2019-12-20 |
| 1740683044 | Jeremy Riddle | Physical Therapist | 4 Downwind Ave, Greenbrier, AR 72058-9815 | 2014-09-30 |
| Street Address |
1631 E 2ND ST STE E |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376680975 | Lynda K. Blakeslee | Counselor | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2007-01-31 |
| 1932573771 | Pilar Nicole Lozano | Counselor | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2015-11-17 |
| 1093058042 | Sarah Romer | Counselor | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2013-03-28 |
| 1578808093 | Lyndsi Ostrow Blank | Social Worker | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2012-12-10 |
| 1538418215 | Megan A. Owen | Social Worker | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2012-09-10 |
| 1588947899 | Christina Camacho | Social Worker | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2011-09-22 |
| 1093971996 | Emily R. Johnston | Social Worker | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2008-07-31 |
| 1760699227 | Rosella Garcia-batot | Counselor | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2007-05-16 |
| 1275653834 | Diane B. Matzner | Counselor | 1631 E 2nd St Ste E, Austin, TX 78702-4491 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
| Find all providers in zip 78702 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
| 1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
| 1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
| 1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
| 1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
| 1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
| Find all providers in AUSTIN | ||||
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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.