MR. ROBERT MYRON RIDLEY LPC
NPI 1891777264
Counselor - Professional in Cookeville, TN

Active since November 18, 2005
441 E BROAD ST, SUITE H, COOKEVILLE, TN 38501(931) 544-1096(931) 451-3774 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Robert Myron Ridley Lpc NPPES

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

MR. ROBERT MYRON RIDLEY LPC (NPI 1891777264) is an individual professional provider in Cookeville, Tennessee, licensed in Tennessee (LPC0000001599) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1891777264
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ROBERT MYRON RIDLEYCredential: LPC
Location Address441 E BROAD ST, SUITE HCookeville, TN 38501-3389
Mailing Address441 E Broad St, Suite HCookeville, TN 38501-3389 · (931) 544-1096 · Fax (931) 451-3774
Fax(931) 451-3774
Sole ProprietorYes
Enumeration DateNovember 18, 2005
Last NPPES UpdateDecember 22, 2016
NPI 1891777264 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 TN · LPC0000001599
441 E BROAD ST, Cookeville, TN 38501

Other Identifiers 1

Medicaid5441348TN

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.

Counselor (Professional)
441 E BROAD ST, SUITE B
COOKEVILLE, TN 38501
Counselor (Professional)
441 E BROAD ST, SUITE H
COOKEVILLE, TN 38501
Psychologist (Clinical)
441 E BROAD ST, SUITE D
COOKEVILLE, TN 38501
Social Worker
441 E BROAD ST, SUITE J
COOKEVILLE, TN 38501
Counselor (Mental Health)
441 E BROAD ST, SUITE B
COOKEVILLE, TN 38501

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 Robert Ridley's NPI number?

The NPI number for Robert Ridley is 1891777264. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Robert Ridley located?

Robert Ridley practices at 441 E Broad St Suite H, Cookeville, TN 38501. The listed phone number is (931) 544-1096.

What is Robert Ridley's specialty?

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

When was this NPI record last updated?

The NPPES record for Robert Ridley was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.