Grief River, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRIEF RIVER, LLC

Practice address

800 Spring St Ste 101
Galena, IL 61036-2003

Phone

(773) 454-9176

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Thomas John Dennis, D. MIN.NPI 1285800318

Title

Owner

Phone

(773) 454-9176

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Thomas John Dennis, LCPC

  • Professional Counselor
  • Galena, IL
  • NPI 1285800318
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1093582306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAYUGA TRL",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610369430",
            "telephone_number": "773-454-9176",
            "fax_number": "815-930-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRING ST STE 101",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610362003",
            "telephone_number": "773-454-9176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cayuga Trl",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610369430",
            "country_code": "US",
            "telephone_number": "773-454-9176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRIEF RIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-454-9176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D. MIN."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Labotte Goode
• Green Chiropractic PC
• Jason M. Green, D.C.
• Tara Jo Green, D.C.
• Gregg L. Painter, DDS, PC
• Elizabeth Ann Gullone, M.D.
• Matthew Paul Gullone, M.D.
• Paul Andrew Gutowski
• Lisa Hackney, RD
• Trent Chris Hagen, DC

• Mental Health Counselor in Galena, IL
• Providers in Galena, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.