Six Rivers Counseling

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-119 Issued in OR

Legal business name

SIX RIVERS COUNSELING

Practice address

182 SW 10TH St
Ontario, OR 97914-2134

Phone

(208) 452-7190

NPI assigned

Jun 19, 2007

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brad W Levitt, PSYD

Title

Clinical Psychologist

Phone

(208) 452-7190

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1144425018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SW 10TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142134",
            "telephone_number": "208-452-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW 10TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142134",
            "telephone_number": "208-452-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIX RIVERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "LEVITT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-452-7190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-202138",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "PSY-119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805206300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Siguenza-Ramos
• Amanda Silue, PA-C
• Leslie Silva, LPC
• Sheila Single
• Michael D Singleton
• Sally Melissa Sluder, AGACNP-BC
• Linda Smallwood
• Laurie J Smith, MHA
• Morris H Smith, MD
• Peter W. Smith, MS

• Clinical Psychologist in Ontario, OR
• Providers in Ontario, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.