Riverside Counseling and Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RIVERSIDE COUNSELING AND WELLNESS LLC

Practice address

935 Chamberlain Hill Rd
Middletown, CT 06457-5546

Phone

(860) 398-3860

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By 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

Sarah M Woolard-Raczka, LCSW, LADCNPI 1154163194

Title

Ceo

Phone

(860) 398-3860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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.

• Sarah Woolard-Raczka, LCSW, LADC

  • Clinical Social Worker
  • Middletown, CT
  • NPI 1154163194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1205699535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 CHAMBERLAIN HILL RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575546",
            "telephone_number": "860-398-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CHAMBERLAIN HILL RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575546",
            "telephone_number": "860-398-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "WOOLARD-RACZKA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-398-3860",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Rivera-Garcia
• Ashley Resnik Rivera, APRN
• Jennifer Rivera
• Jessica Rivera
• Stacy Marie Rivers, PTA
• Crystal Roach, LCSW
• Road to Independence (Road to Indepdence)
• Road to Independence
• Robbins Medical, P.C. (Middlesex Medical Associates)
• Deena Jane Robbins, PHD

• Adult Mental Health Clinic/Center in Middletown, CT
• Providers in Middletown, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.