Organization Active NPI

Rivercourse Counseling, LLC

  • Clinical Social Worker
  • West Valley City, UT
National Provider Identifier
1013683705
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RIVERCOURSE COUNSELING, LLC
Practice address
3556 S 5600 W # 1-660
West Valley City, UT 84120-2815
Phone
(612) 930-2038
NPI assigned
Aug 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Authorized official

Name
Ms. Annalise John, LCSWNPI 1003255324
Title
Owner
Phone
(651) 269-5019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3556 S 5600 W # 1-660
West Valley City, UT 84120-2815

Mailing address

3556 S 5600 W # 1-660
West Valley City, UT 84120-2815
Phone (612) 930-2038

National Provider Directory

National Provider Directory

Locations

3556 S 5600 W
#1660
West Valley City, UT 84120
Phone (612) 930-2038

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1013683705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 S 5600 W # 1-660",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202815",
            "telephone_number": "612-930-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 S 5600 W # 1-660",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202815",
            "telephone_number": "612-930-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCOURSE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ANNALISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-269-5019",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.