B. RILEY SOBER HOUSE
NPI 1124592894
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since January 16, 2019CLIA Certified · 2 labs
3719 DENISON AVE, CLEVELAND, OH 44109(216) 417-4831 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About B. Riley Sober House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

B. RILEY SOBER HOUSE (NPI 1124592894) is a healthcare organization registered as an addiction (substance use disorder) in Cleveland, Ohio and active in the NPI registry since January 2019. The organization holds 2 active CLIA laboratory certificates and lists Kenneth Alexander, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1124592894
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameB. RILEY SOBER HOUSE
Location Address3719 DENISON AVECleveland, OH 44109-2691
Mailing Address3719 Denison AveCleveland, OH 44109-2691 · (216) 417-4831
Organization SubpartNo
Authorized OfficialKenneth AlexanderClinical Supervisor · (216) 444-1195
Enumeration DateJanuary 16, 2019
NPI 1124592894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3719 DENISON AVE, Cleveland, OH 44109

Other Identifiers 1

Medicaid1154835007OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2303398

B Riley Sober House, Inc · Cleveland, OH
Active · expires Apr 23, 2028
CLIA Number36D2303398
Laboratory TypeSubstance Use Facility
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorTony Correa
Laboratory Phone(216) 417-4831
Laboratory LocationB Riley Sober House, Inc2121 West 117th St, Cleveland, OH 44111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2302740

B Riley Sober House Inc · Miami, FL
Active · expires Apr 15, 2028
CLIA Number10D2302740
Laboratory TypeSubstance Use Facility
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorTony Correa
Laboratory Phone(216) 417-4831
Laboratory LocationB Riley Sober House Inc1420 SW 1st St, Miami, FL 33135
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3719 DENISON AVE
CLEVELAND, OH 44109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is B. Riley Sober House's NPI number?

The NPI number for B. Riley Sober House is 1124592894. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is B. Riley Sober House located?

B. Riley Sober House is located at 3719 Denison Ave, Cleveland, OH 44109. The listed phone number is (216) 417-4831.

What is B. Riley Sober House's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does B. Riley Sober House hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for B. Riley Sober House was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.