Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598870966 Individual Practitioner Female Practitioner

Jerilynn Riddle

Counselor • Winter Haven, FL

Professional Overview & Biography Verified Profile Summary

Jerilynn Riddle is a registered healthcare professional specializing in Counselor in Winter Haven, FL. Practice services are available at 1201 FIRST STREET SOUTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 First Street South

Winter Haven, FL 33880

Telephone 8632971702
Fax 8632916084
Associated Practice Facility / Clinic
🏢 Ridge Pathology Consultants Facility NPI 1730161068

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Winter Haven, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL MH4552

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Danny Keaton , LMHC

Counselor - Mental Health

NPI 1033387857

Licensed Mental Health Counselor

Marsia Emanuel

Community Health Worker

NPI 1053590497
Suzette Woten , LCSW

Social Worker - Clinical

NPI 1063420966

Licensed Clinical Social Worker

Theresa Mixon , MS

Case Manager/Care Coordinator

NPI 1063682391

Master of Science

William Layton

Counselor - Mental Health

NPI 1073521969
Michele Faucher , LCSW

Social Worker - Clinical

NPI 1093728685

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1201 FIRST STREET SOUTH, WINTER HAVEN, FL 33880 (Tel: 8632971702)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 AVENUE F NE, WINTER HAVEN, FL 33881 (Tel: 8632931121)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERILYNN RIDDLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #MH4552 in FL)

🟢
Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598870966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

200 Avenue F Ne

Winter Haven, FL 33881

Phone: 8632931121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.