Organization Active NPI

Riverfront Counseling LLC

  • Community/Behavioral Health Agency
  • Davenport, IA
National Provider Identifier
1235330663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RIVERFRONT COUNSELING LLC
Practice address
102 S Harrison St
Davenport, IA 52801-1811
Phone
(563) 324-3200
Fax
(563) 324-3210
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jan Porter, B.S.
Title
Treasurer
Phone
(563) 324-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

102 S Harrison St
Davenport, IA 52801-1811

Mailing address

PO Box 85
Davenport, IA 52805-0085
Phone (563) 324-3200

Other identifiers 2

IdentifierTypeStateIssuer
0760793MedicaidIA
0743716MedicaidIA

National Provider Directory

National Provider Directory

Locations

102 S Harrison St
Davenport, IA 52801
Phone (563) 324-3200

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235330663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528050085",
            "telephone_number": "563-324-3200",
            "fax_number": "563-324-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S HARRISON ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011811",
            "telephone_number": "563-324-3200",
            "fax_number": "563-324-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERFRONT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "563-324-3200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760793",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743716",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.