Active NPI
River of Life
- Community/Behavioral Health Agency
- Port Matilda, PA
National Provider Identifier
1194667188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RIVER OF LIFE
- Practice address
- 775 Fowler Hollow LN
Port Matilda, PA 16870-9101 - Phone
- (814) 762-4323
- NPI assigned
- Apr 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Lyn Beyer, NCC, LAPC
- Title
- Owner
- Phone
- (814) 762-7948
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
775 Fowler Hollow LN
Port Matilda, PA 16870-9101
Mailing address
775 Fowler Hollow LN
Port Matilda, PA 16870-9101
Phone (814) 762-4323
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Clearfield, PA
- NPI 1922958834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1194667188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 FOWLER HOLLOW LN",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168709101",
"telephone_number": "814-762-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 FOWLER HOLLOW LN",
"city": "PORT MATILDA",
"state": "PA",
"postal_code": "168709101",
"telephone_number": "814-762-4323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER OF LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A",
"authorized_official_last_name": "BEYER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-762-7948",
"authorized_official_credential": "NCC, LAPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Matilda, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.