Organization Active NPI

Riverside Counseling, Testing & Educational Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Purcell, OK
National Provider Identifier
1275545477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RIVERSIDE COUNSELING, TESTING & EDUCATIONAL SERVICES, LLC
Practice address
519 W Delaware St
Purcell, OK 73080-5242
Phone
(405) 527-8380
Fax
(405) 527-4549
NPI assigned
Aug 13, 2006
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
Charlotte A Holleman
Title
Office Manager
Phone
(405) 527-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

519 W Delaware St
Purcell, OK 73080-5242

Mailing address

519 W Delaware St
PO Box 1613
Purcell, OK 73080-5242
Phone (405) 527-8380

National Provider Directory

National Provider Directory
Tax ID family
Riverside Counseling Testing Educational Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

519 W Delaware St
Purcell, OK 73080
Phone (405) 527-0027

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275545477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W DELAWARE ST",
            "address_2": "PO BOX 1613",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730805242",
            "telephone_number": "405-527-8380",
            "fax_number": "405-527-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W DELAWARE ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730805242",
            "telephone_number": "405-527-8380",
            "fax_number": "405-527-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING, TESTING & EDUCATIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLEMAN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-527-8380"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

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.