NPIMap

Organization Active NPI

St. Croix Valley Restorative Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • River Falls, WI
National Provider Identifier
1174195044
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ST. CROIX VALLEY RESTORATIVE SERVICES, INC.
Practice address
215 N. 2ND Street
Suite 108
River Falls, WI 54022-3708
Phone
(715) 425-1100
Fax
(715) 425-1112
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Erin Elizabeth McNiff-Kirby, LMFTNPI 1336539386
Title
Director, Restorative Counseling
Phone
(715) 425-1100

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

215 N. 2ND Street
Suite 108
River Falls, WI 54022-3708

Mailing address

215 N. 2ND Street
Suite 108
River Falls, WI 54022-3708
Phone (715) 425-1100

National Provider Directory

National Provider Directory
Tax ID family
St Croix Valley Restorative Justice Program Inc2 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

215 N 2nd St
Ste 108
River Falls, WI 54022
Phone (715) 425-1100

Practitioners & affiliated clinicians

Practitioners 2

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": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1174195044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N. 2ND STREET",
            "address_2": "SUITE 108",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223708",
            "telephone_number": "715-425-1100",
            "fax_number": "715-425-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N. 2ND STREET",
            "address_2": "SUITE 108",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223708",
            "telephone_number": "715-425-1100",
            "fax_number": "715-425-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX VALLEY RESTORATIVE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "MCNIFF-KIRBY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR, RESTORATIVE COUNSELING",
        "authorized_official_telephone_number": "715-425-1100",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.