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TRACY RILEY COUNSELING LLC
NPI 1902239270
Social Worker - Clinical in Jacksonville, FL

Active since August 09, 2013
10151 DEERWOOD PARK BLVD STE 200-250, JACKSONVILLE, FL 32256(904) 704-2527 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2018, Jul 23, 2018 (2 updates tracked since 2018).

About Tracy Riley Counseling Llc NPPES

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

TRACY RILEY COUNSELING LLC (NPI 1902239270) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since August 2013. The organization lists Tracy M Riley, Owner, as its authorized official.

NPPES Registry Identity

NPI1902239270
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRACY RILEY COUNSELING LLC
Location Address10151 DEERWOOD PARK BLVD STE 200-250Jacksonville, FL 32256
Mailing Address10151 Deerwood Park Blvd Ste 200-250Jacksonville, FL 32256-0589 · (904) 704-2527
Phone(904) 704-2527
Organization SubpartNo
Authorized OfficialTracy M RileyOwner · (904) 704-2527
Enumeration DateAugust 9, 2013
Last NPPES UpdateAugust 10, 20182 updates tracked since enumeration
✔ NPI 1902239270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW9355
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH 5716 (FL)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License ME0045122 (FL)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
10151 DEERWOOD PARK BLVD STE 200-250, Jacksonville, FL 32256
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Other Identifiers 1

Medicaid008697300FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Riley Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tracy Riley Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracy Riley, LCSW
Clinical Social Worker
NPI 1679762553
10151 DEERWOOD PARK BLVD STE 200-250
Jacksonville, FL 32256
(904) 704-2527
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Tracy Riley Counseling LLC's NPI number?

The NPI number for Tracy Riley Counseling LLC is 1902239270. It was assigned to this organization in the NPPES registry on August 9, 2013.

Where is Tracy Riley Counseling LLC located?

Tracy Riley Counseling LLC is located at 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256. The listed phone number is (904) 704-2527.

What is Tracy Riley Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tracy Riley Counseling LLC enrolled in Medicare?

Yes. Tracy Riley Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tracy Riley Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Tracy Riley Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tracy Riley Counseling LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Tracy Riley Counseling LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Riley Counseling LLC was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.