JERRY RILEY
NPI 1295325975
Counselor in Bethel, AK

Active since January 26, 2021
1360 CALISTA DR, BETHEL, AK 99559(907) 543-6830 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2021, Jan 26, 2021 (2 updates tracked since 2021).

  • Individual
  • Male
  • Counselor

About JERRY RILEY

This page provides the complete NPI Profile along with additional information for Jerry Riley, a provider established in Bethel, Alaska with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1295325975 assigned on January 2021. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1295325975 Verify this NPI
Provider Name
JERRY RILEY
Gender
Male
Entity Type
Individual
Location Address
1360 CALISTA DR BETHEL, AK 99559
Location Phone
(907) 543-6830
Mailing Address
PO BOX 528 BETHEL, AK 99559
Is Sole Proprietor?
No
Enumeration Date
01-26-2021
Last Update Date
11-12-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1020986MEDICAID (05)AK 

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559
Counselor
1360 CALISTA DR
BETHEL, AK 99559

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295325975, enumerated as an "individual" on January 26, 2021.

The provider is located at 1360 CALISTA DR BETHEL, AK 99559 and the phone number is (907) 543-6830.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.