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JAMIE CAMILLE RIDDLE LPC
NPI 1720907785
Counselor - Professional in Florissant, MO

Active since July 14, 2026PECOS EnrolledAccepts Medicare Assignment
1200 GRAHAM RD, FLORISSANT, MO 63031(888) 365-6271(210) 593-9863 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jamie Camille Riddle Lpc NPPES

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

JAMIE CAMILLE RIDDLE LPC (NPI 1720907785) is an individual professional provider in Florissant, Missouri, licensed in Missouri (2026031047) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1720907785
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAMIE CAMILLE RIDDLECredential: LPC
Location Address1200 GRAHAM RDFlorissant, MO 63031-8015
Mailing Address7272 Wurzbach Rd Ste 601San Antonio, TX 78240-4803 · (888) 365-6271 · Fax (210) 593-9863
Phone(888) 365-6271
Fax(210) 593-9863
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1720907785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2026031047
1200 GRAHAM RD, Florissant, MO 63031
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Camille Riddle Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123584976
PECOS Enrollment IDI20260731000981
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jamie Riddle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deer Oaks Mental Health Associates PC
1,024 mi
Clinical
3025 TERRACE DR
Las Cruces, NM 88011
  • Reassigned Medicare billing, Missouri enrollment
  • 60 clinicians in this Medicare group
NPI 1134175763 (888) 365-6271

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MANOR CARE OF FLORISSANT MO LLC
Skilled Nursing Facility
1200 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 838-6555
KERRY-ANN GEORGINA ROBINSON MSN,FNP-C
Nurse Practitioner (Family)
1200 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (914) 602-2532
HCR MANORCARE
Skilled Nursing Facility
1200 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 838-6555
FLORISSANT HEALTHCARE, LLC
Skilled Nursing Facility
1200 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 838-6555
ANNA HRISTOV ANPC
Nurse Practitioner (Adult Health)
1200 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 317-0600

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 Jamie Riddle's NPI number?

The NPI number for Jamie Riddle is 1720907785. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Where is Jamie Riddle located?

Jamie Riddle practices at 1200 Graham Rd, Florissant, MO 63031. The listed phone number is (888) 365-6271.

What is Jamie Riddle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jamie Riddle enrolled in Medicare?

Yes. Jamie Riddle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jamie Riddle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Riddle reassigns Medicare benefits to Deer Oaks Mental Health Associates PC (Las Cruces, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamie Riddle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jamie Riddle was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.