Organization Active NPI

Integrative Counseling Services

  • Clinical Psychologist
  • Susanville, CA
National Provider Identifier
1083826200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTEGRATIVE COUNSELING SERVICES
Practice address
472-100 Richmond Rd N
Susanville, CA 96130
Phone
(530) 257-5462
Fax
(530) 257-8954
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Elbert Riddle, PH. D,NPI 1164635249
Title
President
Phone
(530) 257-5462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

472-100 Richmond Rd N
Susanville, CA 96130

Mailing address

472-100 Richmond Rd
Susanville, CA 96130
Phone (530) 257-5462

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083826200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472-100 RICHMOND RD",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472-100 RICHMOND RD N",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-5462",
            "fax_number": "530-257-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ELBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-257-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D,"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.