NPIMap

Organization Active NPI

Rivertree Counseling Associates LLC

  • Mental Health Counselor
  • Clinton, MS
National Provider Identifier
1124742705
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RIVERTREE COUNSELING ASSOCIATES LLC
Practice address
134 Fairmont St Ste B
Clinton, MS 39056-4739
Phone
(601) 670-6444
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Mrs. Lacy Lacy Deese, LPCNPI 1104150093
Title
Owner/Manager
Phone
(601) 670-6444

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

134 Fairmont St Ste B
Clinton, MS 39056-4739

Mailing address

804 E Leake St
Clinton, MS 39056-4325
Phone (601) 670-6444

National Provider Directory

National Provider Directory

Locations

134 Fairmont St
Ste B
Clinton, MS 39056
Phone (601) 397-1554

Practitioners & affiliated clinicians

Practitioners 2

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": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1124742705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E LEAKE ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564325",
            "telephone_number": "601-670-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 FAIRMONT ST STE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564739",
            "telephone_number": "601-670-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTREE COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "LACY",
        "authorized_official_middle_name": "LACY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "601-670-6444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.