Kimberly Jo Riley, LMFT CSAC ICS is a
Counselor - Addiction (substance Use Disorder) based in Brodhead, Wisconsin. Kimberly Jo Riley is licensed to practice in Wisconsin (license number 15970-132) and her current practice location is
E401 23rd St, Brodhead, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 690-3078.
NPI number for Kimberly Jo Riley is 1760723712 and her current mailing address is 20 W Gailen Ln, Milton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760723712.
Healthcare Provider's Profile
Full Name | Kimberly Jo Riley |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | E401 23rd St, Brodhead, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760723712
- Provider Enumeration Date: 03/14/2013
- Last Update Date: 07/06/2023
Medical Identifiers
Medical identifiers for Kimberly Jo Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760723712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15970-132 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Jo Riley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Jo Riley, LMFT CSAC ICS 20 W Gailen Ln, Milton, WI 53563-8752 Ph: () - | Kimberly Jo Riley, LMFT CSAC ICS E401 23rd St, Brodhead, WI 53520-2203 Ph: (608) 690-3078 |
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