JEREMY A. RIDDLE


Address: 1631 E 2nd St Ste E, Austin, TX 78702-4491
Phone: 5128043650

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
64806 TX Behavioral Health & Social Service Providers

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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

Office Location

Street Address 1631 E 2ND ST STE E
City AUSTIN
State TX
Zip Code 78702-4491

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City AUSTIN
Zip Code 78702

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Dataset Information

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.

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