NPIMap

Organization Active NPI

River Valley Behavioral Health & Wellness Center, PLLC

  • Counseling Psychologist
  • Savage, MN
National Provider Identifier
1316197148
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
RIVER VALLEY BEHAVIORAL HEALTH & WELLNESS CENTER, PLLC
Practice address
8640 Eagle Creek Cir
Savage, MN 55378-4400
Phone
(952) 746-7664
NPI assigned
Sep 29, 2008
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Sara Kuester
Title
Clinic Manager
Phone
(952) 746-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

8640 Eagle Creek Cir
Savage, MN 55378-4400

Mailing address

8640 Eagle Creek Cir
Savage, MN 55378-4400
Phone (952) 746-7664

Other practice location 1

158 Water St N Ste 3
Northfield, MN 55057-2125
Phone (507) 540-0584

Other practice location 2

1309 Oak Ave Ste 208
Waconia, MN 55387-1080
Phone (952) 746-7664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000482 MN Part B Supplier - Clinic/Group Practice 3678625035 Receives reassigned benefits from 32 practitioners
Practice locations: Northfield, MN; Savage, MN; Waconia, MN

National Provider Directory

National Provider Directory
Tax ID family
River Valley Behavioral Health Wellness Center PLLC2 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

158 Water St N
Ste 3
Northfield, MN 55057
Phone (507) 540-0584

8640 Eagle Creek Cir
Savage, MN 55378
Phone (952) 746-7664

1309 Oak Ave
Ste 208
Waconia, MN 55387
Phone (612) 242-0417

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1316197148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 EAGLE CREEK CIR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784400",
            "telephone_number": "952-746-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 EAGLE CREEK CIR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784400",
            "telephone_number": "952-746-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Water St N Ste 3",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550572125",
            "country_code": "US",
            "telephone_number": "507-540-0584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 Oak Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Waconia",
            "state": "MN",
            "postal_code": "553871080",
            "country_code": "US",
            "telephone_number": "952-746-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER VALLEY BEHAVIORAL HEALTH & WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "KUESTER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "952-746-7664"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.