River Run Wellness Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RIVER RUN WELLNESS CORP

Practice address

785 Sigsbee Ave
Phillipsburg, NJ 08865-4477

Phone

(908) 399-1274

NPI assigned

Aug 10, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Blake Semon, LPC, ACSNPI 1760630735

Title

Owner

Phone

(908) 399-1274

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Blake Semon

  • Professional Counselor
  • Three Bridges, NJ
  • NPI 1760630735
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1003544834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 SIGSBEE AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654477",
            "telephone_number": "908-399-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 SIGSBEE AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654477",
            "telephone_number": "908-399-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RUN WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "SEMON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-399-1274",
        "authorized_official_credential": "LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manasi Revankar, D.O.
• Reviving Life Mental Health Services LLC
• Shiva Rezvanian, M.D
• Marquetta Richardson
• Rise Ventures Corp
• Ashley Jean Marie Rivera, PT, DPT, ATP
• Jomarie Enid Rivera, MD, MSMS.
• Riverfront Neurology LLC
• Kristen Elizabeth Rivoli, LAC
• Eun Kyong Rizzo, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.