Riverside Counseling and Personal Development, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC

Practice address

2774 Cobb Parkway NW
Ste 109 - 454
Kennesaw, GA 30152

Phone

(678) 860-9766

NPI assigned

Apr 22, 2022

Organization subpart

No

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

Authorized official

Name

Annika Russaw, LPC

Title

Ceo

Phone

(678) 860-9766

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1174267553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 COBB PARKWAY NW",
            "address_2": "STE 109 - 454",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "678-860-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 COBB PARKWAY NW",
            "address_2": "STE 109 - 454",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "678-860-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "RUSSAW",
        "authorized_official_first_name": "ANNIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-860-9766",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@riversidecpd.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2774 Cobb Parkway NW",
            "address_2": "STE 109 - 454",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Erica Rivera-Armoreda, PA
• Melissa Rivera-Rodriguez
• Regina Frances Robbins, M.D.
• Kaylana Victoria Roberts
• Adrianne Crystle Robertson, LPC
• Royleisha Nicole Robertson, OTR/L
• Suzanne Patricia Robertson, APRN

• Adult Mental Health Clinic/Center in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.