Riverside Therapy Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RIVERSIDE THERAPY CENTER

Practice address

2022 N Rio Grande LN
Spokane Valley, WA 99016-9499

Phone

(402) 686-6414

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Victoria FacciolaNPI 1174155600

Title

Owner

Phone

(402) 686-6414

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Victoria Marie Facciola

  • Mental Health Counselor
  • Spokane Valley, WA
  • NPI 1174155600
  NPD Authorized official

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1275237448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 N RIO GRANDE LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169499",
            "telephone_number": "402-686-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 N RIO GRANDE LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169499",
            "telephone_number": "402-686-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "FACCIOLA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-686-6414"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174155600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River City Chiropractic LLC
• River City Midwifery
• Jeremiah Rivera, MSW
• Kristina N Rivera, LMP
• Mary Rivera
• Kathryn Ann Rizzo, D.O., PHD
• RJ Care Services LLC
• RMK Healthcare LLC
• Dakotah Alan Roach, PTA
• Jesica Robb

• Mental Health Counselor in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.