NPIMap

Organization Active NPI

Riverside Counseling and Consulting, P.C.

  • Professional Counselor
  • Decatur, AL
National Provider Identifier
1114166915
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1699 Issued in AL
Legal business name
RIVERSIDE COUNSELING AND CONSULTING, P.C.
Practice address
401 Grant St SE
Decatur, AL 35601-3003
Phone
(256) 340-0300
Fax
(256) 340-0353
NPI assigned
Feb 18, 2009
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Ms. Debra Tinsley Gibson, LPCNPI 1477630945
Title
President
Phone
(256) 340-0300

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
Professional Counselor 101YP2500X 1699 AL Primary

Addresses

Primary practice location

401 Grant St SE
Decatur, AL 35601-3003

Mailing address

401 Grant St SE
Decatur, AL 35601-3003
Phone (256) 340-0300

National Provider Directory

National Provider Directory
Tax ID family
Riverside Counseling and Consulting PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 Grant St SE
Decatur, AL 35601
Phone (256) 340-0300

Practitioners & affiliated clinicians

Practitioners 6

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": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1114166915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GRANT ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013003",
            "telephone_number": "256-340-0300",
            "fax_number": "256-340-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRANT ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013003",
            "telephone_number": "256-340-0300",
            "fax_number": "256-340-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING AND CONSULTING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "TINSLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-340-0300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.