NPIMap

Organization Active NPI

Riverbend Services, Inc.

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1144510215
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RIVERBEND SERVICES, INC.
Practice address
6688 NC Highway 41 N
Lumberton, NC 28358-2501
Phone
(910) 618-9260
Fax
(910) 737-6505
NPI assigned
Apr 11, 2011
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Ms. Angie Rouse, BS
Title
Owner
Phone
(910) 618-9260

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-078-166 NC
Mental Health Counselor 101YM0800X NC
Professional Counselor 101YP2500X NC
Social Worker 104100000X NC
Clinical Social Worker 1041C0700X NC
Marriage & Family Therapist 106H00000X NC
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

6688 NC Highway 41 N
Lumberton, NC 28358-2501

Mailing address

6688 NC Highway 41 N
Lumberton, NC 28358-2501
Phone (910) 618-9260

Other identifiers 7

IdentifierTypeStateIssuer
6006953MedicaidNC
3410202MedicaidNC
5950227MedicaidNC
6603809MedicaidNC
8300790MedicaidNC
8702120MedicaidNC
8703204MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Riverbend Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1144510215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 NC HIGHWAY 41 N",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582501",
            "telephone_number": "910-618-9260",
            "fax_number": "910-737-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 NC HIGHWAY 41 N",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582501",
            "telephone_number": "910-618-9260",
            "fax_number": "910-737-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-618-9260",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-078-166",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006953",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410202",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950227",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603809",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300790",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8702120",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703204",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.