Riverside Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RIVERSIDE COUNSELING, LLC

Practice address

1426 Danberry Street
Burkburnett, TX 76354

Phone

(940) 263-1359

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Ella Thompson, LPCNPI 1245887736

Title

Owner

Phone

(940) 263-1359

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ella Morgan Thompson, LPC

  • Professional Counselor
  • Burkburnett, TX
  • NPI 1245887736
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1194546242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6268",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763110268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 DANBERRY STREET",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "76354",
            "telephone_number": "940-263-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-263-1359",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Pierce-Cameron, SLP
• Carolyn Elizabeth Price, RN
• Alison D Radtke, SLP
• Jada Rankin
• Richard Loren Rarick, PTA
• Brittney Rogers
• Jimmy Allen Secoy, LPC ASSOCIATE
• Jeremy Dell Sellers, LVN
• Senior Citizen'S Activity Center of Burkburnett Inc.
• David Bisnar Shotwell, PT

• Professional Counselor in Burkburnett, TX
• Providers in Burkburnett, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.