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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DOMINIQUE RILEY MS
NPI 1720902604
Counselor - Mental Health in Philadelphia, PA

Active since August 05, 2026
12 N PRESTON ST, PHILADELPHIA, PA 19104(215) 895-5500 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Riley Ms NPPES

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

DOMINIQUE RILEY MS (NPI 1720902604) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1720902604
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE RILEYCredential: MS
Location Address12 N PRESTON STPhiladelphia, PA 19104-2211
Mailing Address111 Elwyn RdMedia, PA 19063-4622
Phone(215) 895-5500
Sole ProprietorNo
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1720902604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12 N PRESTON ST, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 12

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

RACHEL PAOLUCCI LPC
Counselor (Professional)
12 N PRESTON ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 895-5588
SHAWN MCLAUGHLIN M.ED
Counselor (Mental Health)
12 N PRESTON ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 895-5588
SARAH HOPE GORDON CRNP
Nurse Practitioner (Psychiatric/Mental Health)
12 N PRESTON ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 895-5588
MEGAN SILVA CRNP
Nurse Practitioner (Psychiatric/Mental Health)
12 N PRESTON ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 895-5588
SHAKINA SMALL MS, NCC, LPC, LBC
Counselor (Mental Health)
12 N PRESTON ST
PHILADELPHIA, PA 19104
Philadelphia County (267) 225-7638
COUNSELORS HEART THERAPEUTIC SERVICES, LLC
Counselor (Mental Health)
12 N PRESTON ST
PHILADELPHIA, PA 19104
Philadelphia County (267) 225-7638
WYDIA TAMIKA SIMMONS
Counselor
12 N PRESTON ST
PHILA, PA 19104
Philadelphia County (610) 891-2000
PIMTONG UDOMKIJKOSOL
Counselor (Professional)
12 N PRESTON ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 895-5512

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 Dominique Riley's NPI number?

The NPI number for Dominique Riley is 1720902604. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Where is Dominique Riley located?

Dominique Riley practices at 12 N Preston St, Philadelphia, PA 19104. The listed phone number is (215) 895-5500.

What is Dominique Riley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dominique Riley was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.