Riverview Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RIVERVIEW COUNSELING SERVICES

Doing business as

Champlin Counseling Services

Practice address

11326 Maplewood LN N
Champlin, MN 55316-3145

Phone

(763) 528-5235

Fax

(763) 424-7288

NPI assigned

May 1, 2009

Last updated

May 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly Marie Davenport, MS, LMFT

Title

Owner

Phone

(763) 528-5235

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Champlin Counseling Services Doing business as

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1194969311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11326 MAPLEWOOD LN N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163145",
            "telephone_number": "763-528-5235",
            "fax_number": "763-424-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11326 MAPLEWOOD LN N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163145",
            "telephone_number": "763-528-5235",
            "fax_number": "763-424-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-528-5235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407168900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champlin Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Rasmussen, CNP
• Kim M Reiff, RPH
• Mikhail Nerone Dela Cruz Reyes, MD
• Susan Riekels, LPC
• Darlene Sherice Riley
• Laura Robitschek, DO
• Daniel Roehl, PHARM D.
• Michelle Lee Rogers, MSW, LGSW
• Gregg Alexander Ronney, LADC, LPCC
• Mildred Ann Rotzoll, MD

• Community/Behavioral Health Agency in Champlin, MN
• Providers in Champlin, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.