Active NPI
Riverside Counseling, Testing & Educational Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Purcell, OK
National Provider Identifier
1275545477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Purcell, OK
- NPI 1467556118
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.